JOAN SEBASTIAN BOLANOS LOPEZ

SHALLOTTE, NC
NPI1396532511
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-15626)
Enumeration Date2025-04-22
Last Update Date2025-08-08
Business Address
JOAN SEBASTIAN BOLANOS LOPEZ PA-C
5160 OCEAN HWY W
SHALLOTTE, NC 28470-4012
Phone number: 910-617-8325
Mailing Address
JOAN SEBASTIAN BOLANOS LOPEZ PA-C
PO BOX 5105
BELFAST, ME 04915-5100
Phone number: 919-220-5255
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