Individual
JAIME JOAQUIN ALIX OMEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1540 SUNDAY DR, RALEIGH, NC 27607-6010
(919) 782-3456
(919) 783-1441
Mailing address
1540 SUNDAY DR, RALEIGH, NC 27607-6010
(919) 782-3456
(919) 783-1441
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5017893
NC
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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