Individual
MONIQUE CLYTIE AGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
10710 FOREMOST DR APT 410, RALEIGH, NC 27617-4441
(919) 265-9415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F03190257
NC
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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