Individual
GELAINE GAILE BRAVO AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5536 BERRY CREEK CIR, RALEIGH, NC 27613-1465
(910) 882-9518
Mailing address
5536 BERRY CREEK CIR, RALEIGH, NC 27613-1465
(910) 882-9518
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
332011
NC
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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