Teresa Oliver Irvin
Technician in Greensboro, NC. Individual provider (NPI-1).
NPI number1972352219
StatusActive
Last updated in NPPESMay 17, 2024
Details
- NPI
- 1972352219
- Entity type
- Individual (NPI-1)
- Name
- Teresa Oliver Irvin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 17, 2024
- Certification date
- May 17, 2024
- Last updated
- May 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374700000X | Technician | – | NC | Yes |
Practice location
2714 Quail Oaks DrGreensboro, NC 27405-2958
Phone 336-894-0202
Mailing address
2714 Quail Oaks DrGreensboro, NC 27405-2958
Phone 336-894-0202
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