Organization
TRUE RADIANCE MEDISPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LLAMADO YAP DO (PROVIDER)
(252) 969-0025
Entity
Organization
Contact information
Practice address
800 TIFFANY BLVD STE 100B, ROCKY MOUNT, NC 27804-1807
(252) 969-0025
Mailing address
800 TIFFANY BLVD STE 100B, ROCKY MOUNT, NC 27804-1807
(252) 969-0025
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1891822391
NC
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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