Individual
GINA STEFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 PECAN AVE, CHARLOTTE, NC 28205-5037
(704) 814-0272
Mailing address
4908 HOUSTON FIELD COURT, CHARLOTTE, NC 28277
(704) 814-0272
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26357
NC
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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