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Individual

ALLIA ASHLEY VAEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5523 WALDOS BEACH RD, FAYETTEVILLE, NC 28306-5505
(910) 615-3120
(910) 615-9750
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2025-02576
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/22/2022
Last updated
04/17/2026
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