Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Jul 19, 2018
License(s)
9375127 (FL), 5013855 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 4210 OLD CHARLOTTE HWY | Monroe, NC 28110-7333 | 704-291-3393 |
| LOCATION | 4210 OLD CHARLOTTE HWY | Monroe, NC 28110-7333 | 704-291-3393 |
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