Individual
KAMLEY PERALTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6421 VIRGILIA CT, RALEIGH, NC 27616-3170
(646) 382-3053
Mailing address
6421 VIRGILIA CT, RALEIGH, NC 27616-3170
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
A5622
NC
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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