EVITA ADICIE PENA BLACKWELL

RAEFORD, NC
NPI1134621238
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NC  282992)
Enumeration Date2018-03-05
Last Update Date2018-03-05
Business Address
Mrs. EVITA ADICIE PENA BLACKWELL RN
168 THORNCLIFF DR
RAEFORD, NC 28376-6544
Phone number: 910-224-8681
Mailing Address
Mrs. EVITA ADICIE PENA BLACKWELL RN
168 THORNCLIFF DR
RAEFORD, NC 28376-6544
Phone number: 910-224-8681
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