Jataya Alianna Fowlkes
Jataya Alianna Fowlkes is a Health Service Clinic/Center in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2026
Practice location Address checks out
1413 Trademart BlvdWinston Salem, NC 27127-5645
Phone: (336) 791-9516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X (NC) |
|---|
Record details
| NPI number | 1922946987 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 23, 2026 |
| Last updated in NPPES | June 15, 2026 |
| Certification date | June 15, 2026 |
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