Individual
PROF. GRACE BARROSA GENETIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2503 ROSWELL AVE UNIT 507, CHARLOTTE, NC 28209-1685
(704) 301-5133
Mailing address
2503 ROSWELL AVE UNIT 507, CHARLOTTE, NC 28209-1685
(704) 301-5133
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5004335
NC
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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