Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | NC | |
N | 222Z00000X | Podiatrist | NC | |
Y | 224P00000X | Prosthetist |
NPI | 1215052352 |
---|---|
Provider Name | Ms. Jennifer A Avakian |
First Address | Raleigh, NC 27610-1855 |
Second Address | Raleigh, NC 27610-1855 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 11/11/2008 |