Individual
YVETTE LONGORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 MEMORIAL DR, JACKSONVILLE, NC 28546-6328
(910) 353-0581
(910) 353-1536
Mailing address
120 MEMORIAL DR, JACKSONVILLE, NC 28546-6328
(910) 353-0581
(910) 353-1536
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34072
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8952693
—
NC
Enumeration date
06/15/2006
Last updated
10/11/2011
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