Individual
LEILANI CEZAR JUMAWID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
167 MOORE RD STE 206, KING, NC 27021-8770
(336) 673-6450
(336) 673-6449
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5007014
NC
363L00000X
Nurse Practitioner
F0714180
NC
Other
Enumeration date
07/15/2014
Last updated
07/25/2024
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