Individual
KELSEY CHARMAINE DE SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4226
(984) 974-1000
Mailing address
2714 BRENTWOOD DR, LANCASTER, CA 93536-5372
(661) 305-0935
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
303586648
NC
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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