SUBY MAMMEN

GASTONIA, NC
NPI1578041562
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  5010709)
Enumeration Date2018-08-01
Last Update Date2018-08-01
Business Address
SUBY MAMMEN NP
2525 COURT DR
GASTONIA, NC 28054-2140
Phone number: 704-834-2000
Mailing Address
SUBY MAMMEN NP
3352 MANDRAKE CT
TEGA CAY, SC 29708-8806
Phone number: 803-389-6725
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