Individual
ROSA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(980) 253-4378
Mailing address
4116 ASHLEYTOWN LN, CHARLOTTE, NC 28270-0491
(980) 253-4378
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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