Search › North Carolina › 101YM0800X
Brenna Deters
NPI 1477378289 · on the registry since 2024 · sole proprietor
Practice
- Address
- 704 Radiant Dr
Jacksonville, NC 28546 - Phone
- (561) 676-0575
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina