NPI 1578178166

Jimmilisa Totten

Practitioner Contractor Durham, NC

Practice location

Address: 4629 Hope Valley Rd APT a, Durham, NC 27707-6611
Phone: (919) 597-1908

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1578178166
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Sep 2020
Record last updated: 10 Sep 2020

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.