KIA LATEA COLLETON-LIVINGSTON

CONCORD, NC
NPI1477826451
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NC  218559)
Additional Taxonomies363LP2300X Nurse Practitioner, Primary Care
(Licence: NC  218559)
Enumeration Date2012-02-21
Last Update Date2024-06-18
Business Address
KIA LATEA COLLETON-LIVINGSTON NP-C
836 OAK MANOR DR SE
CONCORD, NC 28025-0053
Phone number: 336-408-5630
Mailing Address
KIA LATEA COLLETON-LIVINGSTON NP-C
836 OAK MANOR DR SE
CONCORD, NC 28025-0053
Phone number: 336-408-5630