Individual
NICOLE M CIESLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST/CFA
Contact information
Practice address
2001 VAIL AVE, CHARLOTTE, NC 28207-1219
(704) 323-2248
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
108145
FL
246ZS0410X
Surgical Technologist
Primary
124768
NC
Other
Enumeration date
04/02/2010
Last updated
05/13/2011
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