Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 1538 | NC |
NPI | 1043200025 |
---|---|
Provider Name | Mrs. Jeanne Howell Canting |
First Address | Cary, NC 27519-5839 |
Second Address | Cary, NC 27513-8431 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2005 |
Last Update Date | 21/05/2008 |