Individual
MS. STACIE GONZALEZ VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7212 GB ALFORD HWY, HOLLY SPRINGS, NC 27540-7661
(919) 552-1520
(919) 552-8792
Mailing address
7212 GB ALFORD HWY, HOLLY SPRINGS, NC 27540-7661
(919) 552-1520
(919) 552-8792
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-01503
NC
Other
Enumeration date
10/08/2008
Last updated
07/27/2014
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