Individual
DOREELIN MENDOZA CHITLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3422 US HWY 1, FRANKLINTON, NC 27525
(919) 494-7735
Mailing address
12305 CAMBERWELL CT, RALEIGH, NC 27614-8933
(919) 600-2093
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12216
NC
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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