Individual
MRS. MARY CONSOLACION MEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MA
Contact information
Practice address
8024 HILLANBY COURT, WATHAW, NC 28173-7699
(704) 243-0303
(704) 243-0299
Mailing address
8024 HILLANBY COURT, WATHAW, NC 28173-7699
(704) 243-0303
(704) 243-0299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
178109
NC
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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