Individual provider · NPI-1

Nautica Lynch

Homemaker · Concord, NC

NPI number1225719735
StatusActive
Last updated in NPPESJul 27, 2023

Details

NPI
1225719735
Entity type
Individual (NPI-1)
Name
Nautica Lynch
Sex
Female
Sole proprietor
No
Enumeration date
Jul 27, 2023
Certification date
Jul 27, 2023
Last updated
Jul 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker––Yes

Practice location

4979 Astonshire Ln
Concord, NC 28027-8746

Phone 336-708-1471

Mailing address

4979 Astonshire Ln
Concord, NC 28027-8746

Phone 336-708-1471

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