Registry details
Type
Individual
Primary specialty
Nurse Practitioner
Enumerated
Jun 23, 2020
License(s)
5013240 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 14442 LAUREL TREE LN | Huntersville, NC 28078-7000 | 704-650-2707 |
| LOCATION | 14442 LAUREL TREE LN | Huntersville, NC 28078-7000 | 704-650-2707 |
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