Individual
BERTHA LAURA SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5 BERYL LN, PINEHURST, NC 28374-9137
(910) 305-0289
Mailing address
5 BERYL LN, PINEHURST, NC 28374-9137
(910) 305-0289
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5017972
NC
Other
Enumeration date
09/08/2022
Last updated
07/17/2024
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