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Deontrae Spruill

NPI 1538601323 · on the registry since 2016 · sole proprietor

Practice

Address
1033 Shannon St
Elizabeth City, NC 27909
Phone
(816) 489-2299
Organisation at this address
Cosmiccare
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Private Vehicle
347C00000X
Also registered as
Non-emergency Medical Transport (VAN)
Taxi
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-11-16

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