Individual
MR. CYPRIEL FIDELIS NWAFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11124 FRONT PORCH AVE APT 21107, CHARLOTTE, NC 28227-0049
(704) 777-5710
Mailing address
11124 FRONT PORCH AVE APT 21107, CHARLOTTE, NC 28227-0049
(704) 777-5710
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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