Individual
TANYA LEAL PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
108 S MAIN ST STE C, DAVIDSON, NC 28036-8096
(980) 259-2498
Mailing address
108 S MAIN ST STE C, DAVIDSON, NC 28036-8096
(980) 259-2498
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-14179
NC
Other
Enumeration date
02/25/2022
Last updated
04/18/2024
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