Individual
RAQUEL REY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 UNIVERSITY DR, SUITE 105, BURLINGTON, NC 27215-8776
(336) 584-5659
Mailing address
3119 LELAND LN, EFLAND, NC 27243-9687
(919) 304-3041
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5006593
NC
363LG0600X
Gerontology Nurse Practitioner
5006593
NC
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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