AVITA WADE

CHARLOTTE, NC
NPI1023608957
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NC  089017)
Enumeration Date2021-01-25
Last Update Date2021-01-25
Business Address
AVITA WADE
5110 MISTY OAKS DR APT 1813
CHARLOTTE, NC 28269-4397
Phone number: 843-641-8326
Mailing Address
AVITA WADE
5110 MISTY OAKS DR APT 1813
CHARLOTTE, NC 28269-4397
Phone number:
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