Individual
MR. CARLOS GARCIA-SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4287 LAKE WOODARD DRIVE, RALEIGH, NC 27604
(919) 672-3939
Mailing address
4287 LAKE WOODARD DR, RALEIGH, NC 27604-1071
(919) 672-3939
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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