Individual
ANDRE NIKOLAY MANCHENO RUBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(910) 298-3125
(910) 320-8409
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(910) 298-3125
(910) 320-8409
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
323537
NC
Other
Enumeration date
07/11/2024
Last updated
07/15/2024
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