MS. Katisha Deanna Branch

NPI #1255603536 in Raleigh, North Carolina

Provider Information

NPI Number: 1255603536
Entity Type: Individual
Name: MS. Katisha Deanna Branch
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Feb 2, 2012
Last Updated: Feb 2, 2012

Practice Location

Address: 6412 ROCK QUARRY RD
City: Raleigh
State: North Carolina
ZIP Code: 27610-8249
Phone: (919) 345-7830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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