Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Jun 21, 2022
License(s)
5016849 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 790 TIMBER DR | Garner, NC 27529-4852 | 919-779-2883 |
| MAILING | 790 TIMBER DR | Garner, NC 27529-4852 | 919-661-9992 |
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