NPI 1255603536

Katisha Deanna Branch

Practitioner Driver Raleigh, NC

Practice location

Address: 6412 Rock Quarry Rd, Raleigh, NC 27610-8249
Phone: (919) 345-7830

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1255603536
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2012
Record last updated: 2 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.