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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. COLLETTA LAVINA REDMON

Active Sole Proprietor

Medical-Surgical Nurse · STATESVILLE, NC

Registration Details

NPI Number
1790944049
Provider Type
Individual
Gender
Female
NPI Issued
Jun 3, 2008 (17.911877972088 yrs)
Last Updated
Jun 3, 2008
License
0000000 (NC)
Sole Proprietor
Yes

Practice Information

Address
2238 TARAS TRACE DR
STATESVILLE, NC, 286258296
Browse NC providers · Browse ZIP 28625
Phone
7048839621
Primary Specialty
Medical-Surgical Nurse
163WM0705X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.