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Individual

ALICE DALENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1656 RIVERCHASE BLVD, STE 3600, ROCK HILL, SC 29732-2084
(803) 324-7606
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
22694
SC
363LF0000X
Family Nurse Practitioner
Primary
5014461
NC

Other

Enumeration date
03/12/2019
Last updated
09/27/2021
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