Individual
CLARISSA JUSTICE BARTOLAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-7000
Mailing address
5220 GREENS DAIRY RD, RALEIGH, NC 27616-4612
(919) 503-4456
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13859
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/04/2023
Last updated
07/01/2024
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