FREDERICO JOSE REIS SOARES

CHARLOTTE, NC
NPI1134870066
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: NC  5015542)
Enumeration Date2022-01-12
Last Update Date2022-01-13
Business Address
FREDERICO JOSE REIS SOARES
1021 MOREHEAD MEDICAL DR
CHARLOTTE, NC 28204-2990
Phone number: 980-442-2000
Mailing Address
FREDERICO JOSE REIS SOARES
105 W C ST
BECKLEY, WV 25801-5502
Phone number: 570-561-7901
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