Individual
EMANUEL LOFTI FAKHORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12145 LANDING GREEN DR, CHARLOTTE, NC 28277-4635
(646) 505-9427
Mailing address
12145 LANDING GREEN DR, CHARLOTTE, NC 28277-4635
(646) 505-9427
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
C201315400053
NC
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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