Individual
KARLA ELIZABETH BRACAMONTE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 ROCK QUARRY RD, RALEIGH, NC 27610-3825
(919) 746-9580
Mailing address
100 ROCK QUARRY ROAD, RALEIGH, NC 27610-4063
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
01/29/2022
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