DEREK MEDEIROS

CHARLOTTE, NC
NPI1053855296
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy243U00000X Radiology Practitioner Assistant
(Licence: MA  15MA1496)
Enumeration Date2016-12-07
Last Update Date2016-12-07
Business Address
-- DEREK MEDEIROS R.T, R.R.A, R.P.A
6836 MORRISON BLVD STE 101
CHARLOTTE, NC 28211-2612
Phone number: 704-817-0821
Mailing Address
-- DEREK MEDEIROS R.T, R.R.A, R.P.A
6836 MORRISON BLVD SUITE 101
CHARLOTTE, NC 28211-2612
Phone number: 704-817-0821
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