SHANTAL JAYAWICKREME

DURHAM, NC
NPI1053015727
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-28
Last Update Date2023-03-28
Business Address
SHANTAL JAYAWICKREME MD
2301 ERWIN RD
DURHAM, NC 27705-4699
Phone number: 919-684-8111
Mailing Address
SHANTAL JAYAWICKREME MD
117 BRIERY BRANCH CT
DURHAM, NC 27710-0001
Phone number: 919-684-8111