JONATHAN LABAYO DESAMERO

GASTONIA, NC
NPI1003804972
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: NC  201824)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: NC  201824)
Enumeration Date2005-10-13
Last Update Date2024-07-15
Business Address
JONATHAN LABAYO DESAMERO FNP
3715 UNION RD
GASTONIA, NC 28056-8044
Phone number: 704-854-8202
Mailing Address
JONATHAN LABAYO DESAMERO FNP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number: