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Individual

LILIANA DONOSO BERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP,MSN

Contact information

Practice address
130 N JUDD PWY, FUQUAY VARINA, NC 27526
(919) 212-7642
Mailing address
1624 POINT ROYAL DR, FUQUAY VARINA, NC 27526-6491

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201018
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7963348
NC
Enumeration date
06/26/2007
Last updated
07/08/2007
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