LEEARLIS ARCHIE CNA, MAA
Individual Provider (NPI-1)
Active
Technician, Other
Provider Information
- NPI Number
1093482846- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CNA, MAA
- Status
- Active
Contact & Location
- Address
- 1021 STAFFORD PLACE CIRCLE APT #104, WINSTON-SALEM, NC, 27127
- Phone
- (336) 995-0397
- Fax
- (336) 306-9763
Specialties & Taxonomies
Technician, Other
Primary License: NC #M108189