MARYANNA C TER POORTEN

CONCORD, NC
NPI1477539724
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207NS0135X Dermatology Procedural Dermatology
(Licence: NC  2003-00893)
Enumeration Date2005-12-19
Last Update Date2009-02-12
Business Address
MARYANNA C TER POORTEN MD
335 PENNY LN
CONCORD, NC 28025-1221
Phone number: 704-784-5901
Mailing Address
MARYANNA C TER POORTEN MD
335 PENNY LN
CONCORD, NC 28025-1221
Phone number: 704-784-5901
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