Individual
BRENT DELAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 BEAVERDAM RD, ASHEVILLE, NC 28804-1806
(828) 259-9815
Mailing address
24 VERMONT CT, ASHEVILLE, NC 28806-3021
(828) 259-9815
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5014228
NC
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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