Individual
MARY ESPEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
349 LEGENDS DR, RAEFORD, NC 28376-4404
(845) 803-5746
Mailing address
349 LEGENDS DR, RAEFORD, NC 28376-4404
(845) 803-5746
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
156664
CT
163W00000X
Registered Nurse
Primary
343160
NC
163W00000X
Registered Nurse
753731
NY
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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