BEENA JACOB

RALEIGH, NC
NPI1568930113
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  5011196)
Enumeration Date2018-11-12
Last Update Date2018-11-12
Business Address
BEENA JACOB
4505 FAIR MEADOWS LN STE 101
RALEIGH, NC 27607-6449
Phone number: 919-787-4000
Mailing Address
BEENA JACOB
23 FINISH LINE RD
BAHAMA, NC 27503-9657
Phone number: 919-479-6785
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