WAYNE MAVELLIA

STATESVILLE, NC
NPI1598524076
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  7744)
Enumeration Date2024-03-18
Last Update Date2025-11-11
Business Address
WAYNE MAVELLIA CRNA
557 BROOKDALE DR
STATESVILLE, NC 28677-4107
Phone number: 704-873-5661
Mailing Address
WAYNE MAVELLIA CRNA
557 BROOKDALE DR
STATESVILLE, NC 28677-4107
Phone number: