Individual
TINIJAL PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9931 DAVIS LAKE PKWY, CHARLOTTE, NC 28269-3306
(704) 659-5431
Mailing address
9931 DAVIS LAKE PKWY, CHARLOTTE, NC 28269-3306
(704) 659-5431
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
352762
NC
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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