Individual
ELAINE LONGORIA PETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MEDICINE CIR, DURHAM, NC 27710-0001
(360) 951-0694
Mailing address
1236 TORCHLIGHT WAY, RALEIGH, NC 27603-5534
(360) 951-0694
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
330354
NC
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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