Individual
EMIKO DEGAETANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
613 E ROOSEVELT BLVD, MONROE, NC 28112-5124
(704) 283-8800
Mailing address
613 E ROOSEVELT BLVD, MONROE, NC 28112-5124
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00969
NC
Other
Enumeration date
05/07/2007
Last updated
04/01/2009
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