Individual
DR. XIOMARA ANTONETTI VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
317 WESTERN BLVD, JACKSONVILLE, NC 28546-6338
(910) 577-2345
Mailing address
317 WESTERN BLVD, JACKSONVILLE, NC 28546-6338
(910) 577-2345
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2020-00137
NC
207P00000X
Emergency Medicine Physician
293040-1
NY
Other
Enumeration date
03/24/2015
Last updated
02/05/2020
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