Gwendolyn Hairston, | |
510 Banner Ave, Greensboro, NC 27401-4303 | |
(336) 285-7915 | |
Not Available |
Full Name | Gwendolyn Hairston |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 510 Banner Ave, Greensboro, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053723486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 68358 (North Carolina) | Primary |
Mailing Address | Practice Location Address |
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Gwendolyn Hairston, 510 Banner Ave, Greensboro, NC 27401-4303 Ph: () - | Gwendolyn Hairston, 510 Banner Ave, Greensboro, NC 27401-4303 Ph: (336) 285-7915 |
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Latosha R Lea, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1508 Avalon Rd, Greensboro, NC 27401 Phone: 336-987-1285 | |
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