Registry details
Type
Individual
Primary specialty
Nurse Practitioner
Enumerated
Jul 29, 2013
License(s)
5006309 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1134 N ROAD ST BLDG. 9 | Elizabeth City, NC 27909-3365 | 252-331-1100 |
| LOCATION | 1134 N ROAD ST BLDG. 9 | Elizabeth City, NC 27909-3365 | 252-331-1100 |
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