Individual
LORETTA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8440 SHIREDALE LN, CHARLOTTE, NC 28212-1554
(046) 497-7747
Mailing address
8440 SHIREDALE LN, CHARLOTTE, NC 28212-1554
(046) 497-7747
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
NC
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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