SearchNorth Carolina101YA0400X

Christina Bazemore

NPI 1649522053 · on the registry since 2012 · sole proprietor

Practice

Address
1804 Martin Luther King Pkwy Ste 109
Durham, NC 27707
Phone
(919) 747-9172
Organisation at this address
Youth Extensions Inc.
Living Well Centre, Inc.
Square One Wellness Center, Inc.
Kidspeace National Centers Of North America, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YP2500X
104100000X
251S00000X
Sex
Female
Record last updated
2012-10-09

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