Individual
THERESA MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4700
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4700
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401986
NY
Other
Enumeration date
06/30/2016
Last updated
02/11/2022
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