Individual
CARLOS MIGUEL CORRALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3115 BORDEAUX PARK DR, FAYETTEVILLE, NC 28306-2894
(910) 307-7337
Mailing address
8336 CANNON GROVE DR, WILLOW SPRING, NC 27592-7483
(305) 389-7673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5014184
NC
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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