DETAVIA KENAN

GREENSBORO, NC
NPI1073342325
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy246RP1900X Technician, Pathology, Phlebotomy
Additional Taxonomies253Z00000X In Home Supportive Care
Enumeration Date2024-07-26
Last Update Date2024-07-26
Business Address
DETAVIA KENAN CMA
2 CENTERVIEW DR STE 64
GREENSBORO, NC 27407-3708
Phone number: 336-303-0587
Mailing Address
DETAVIA KENAN CMA
555 WHISTLING SWAN DR
GREENSBORO, NC 27455-1535
Phone number: 919-696-6125
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