Individual
BEATRIZ DEMORAIS FONROBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2373 AUGUSTA HWY, LEXINGTON, SC 29072-2213
(866) 389-2727
Mailing address
1011 ARDREY CIR, EVANS, GA 30809-7105
(832) 369-0125
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18616
SC
363LF0000X
Family Nurse Practitioner
229769
GA
363LF0000X
Family Nurse Practitioner
719261
TX
Other
Enumeration date
11/24/2013
Last updated
01/28/2014
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