Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Aug 14, 2020
License(s)
5012990 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 404 S SUTHERLAND AVE | Monroe, NC 28112-5060 | 704-257-8014 |
| LOCATION | 404 S SUTHERLAND AVE | Monroe, NC 28112-5060 | 704-291-9267 |
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