Individual
CARMEN JADE CHILDERS RASZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2555 COURT DR, GASTONIA, NC 28054-2134
(704) 867-2141
(704) 867-2308
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
270643
NC
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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