Individual
CAROLYN O'LENIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16740 DAVIDSON CONCORD RD, DAVIDSON, NC 28036-8746
(704) 801-9600
Mailing address
PO BOX 226, DAVIDSON, NC 28036-0226
(419) 564-8204
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
269867
NC
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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