Individual
MR. BRONCO AURELIUS SUZUKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
262718
NC
376K00000X
Nurse's Aide
72896
NC
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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