Individual
RONDA CROWNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6119 E WT HARRIS BLVD, CHARLOTTE, NC 28215-4055
(704) 390-3363
Mailing address
6119 E WT HARRIS BLVD, CHARLOTTE, NC 28215-4055
(704) 390-3363
(704) 919-5254
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001166131
VA
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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