Individual
EDWIN DANTE ALBINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
12230 PAINTED TREE RD, CHARLOTTE, NC 28226-3851
(980) 939-4011
Mailing address
12230 PAINTED TREE RD, CHARLOTTE, NC 28226-3851
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
08/23/2009
Last updated
08/23/2009
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