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Individual

CLIFFORD SCOTT MENAFRA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
210 ASHVILLE AVE, CARY, NC 27518-6676
(919) 576-2330
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013296
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1558989269
NC
Enumeration date
07/09/2020
Last updated
02/24/2023
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