Individual
MRS. QUANITA T CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
Mailing address
5111 PAUL PEEL PL, HOPE MILLS, NC 28348-1330
(910) 747-1785
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
297285
NC
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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