Individual
MRS. CARMEN LERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 STUTTS RD, MOORESVILLE, NC 28117-7462
(704) 315-1912
Mailing address
525 STUTTS RD, MOORESVILLE, NC 28117-7462
(704) 315-1912
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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