Individual
KEENAN WILLOUGHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 E 9TH ST, LUMBERTON, NC 28358-5025
(910) 736-7330
Mailing address
1105 E 9TH ST, LUMBERTON, NC 28358-5025
Taxonomy
Speciality
Code
Description
License number
State
2279H0200X
Home Health Registered Respiratory Therapist
Primary
A2439
NC
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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