Individual
DR. KEIKO MARIE DEPASQUALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2615 LAKE DR STE 201, RALEIGH, NC 27607-6694
(919) 781-9555
Mailing address
2615 LAKE DR STE 201, RALEIGH, NC 27607-6694
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2021-03424
NC
Other
Enumeration date
02/21/2018
Last updated
08/23/2022
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