Individual
ELLESSE NICOLE QUIJANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8315 MAGNOLIA ESTATES DR, CORNELIUS, NC 28031-7837
(704) 895-7062
Mailing address
2324 MCCLINTOCK RD UNIT A208, CHARLOTTE, NC 28205-5229
(732) 606-7176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28398
NC
183500000X
Pharmacist
38032
SC
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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