Individual
PRECIOUS ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
119 W WADE ST, WADESBORO, NC 28170-2136
(910) 524-2480
Mailing address
119 W WADE ST, WADESBORO, NC 28170-2136
(843) 670-8889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AP143504
TX
363L00000X
Nurse Practitioner
Primary
5017432
NC
Other
Enumeration date
10/11/2019
Last updated
05/31/2023
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