Individual
MARY JO-AN CARRILLO BAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-1931
Mailing address
3710 EXCHANGE GLENWOOD PL APT 434, RALEIGH, NC 27612-4861
(201) 562-2459
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012917
NC
Other
Enumeration date
02/26/2020
Last updated
10/08/2021
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