Individual
WANDA T TOBIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(301) 741-6992
Mailing address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(301) 741-6992
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024177506
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
17827
SC
Other
Enumeration date
12/09/2005
Last updated
01/17/2024
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