MARCELA PROVENZANO

RALEIGH, NC
NPI1346967734
Former NameMARCELA HERNANDEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-12733)
Enumeration Date2022-10-26
Last Update Date2025-08-15
Business Address
MARCELA PROVENZANO PA-C
10207 CERNY ST STE 102
RALEIGH, NC 27617-4880
Phone number: 919-613-1807
Mailing Address
MARCELA PROVENZANO PA-C
10207 CERNY ST STE 102
RALEIGH, NC 27617-4880
Phone number: 919-613-1807
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