LILLYKUTTY ABRAHAM MODOOR

WINSTON SALEM, NC
NPI1013155969
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC  5004280)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: NC  5004280)
363LF0000X Nurse Practitioner, Family
(Licence: NC  5004280)
Enumeration Date2009-01-30
Last Update Date2023-02-06
Business Address
LILLYKUTTY ABRAHAM MODOOR Nurse Practitioner
650 HIGHLAND AVE STE 100
WINSTON SALEM, NC 27101-4304
Phone number: 336-607-8523
Mailing Address
LILLYKUTTY ABRAHAM MODOOR Nurse Practitioner
284 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025-1833
Phone number: 704-939-1100