Healthcare Provider Details

I. General information

NPI: 1740114453
Provider Name (Legal Business Name): SALMA DAKROURI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4350 US 421 S
LILLINGTON NC
27546-6760
US

IV. Provider business mailing address

2221 IRON WORKS DR
RALEIGH NC
27604-5358
US

V. Phone/Fax

Practice location:
  • Phone: 910-893-1210
  • Fax:
Mailing address:
  • Phone: 336-858-0854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: