DECOYA BLUE

SHALLOTTE, NC
NPI1770365397
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: NC  5019014)
Enumeration Date2023-10-18
Last Update Date2023-10-18
Business Address
DECOYA BLUE
3650 EXPRESS DR
SHALLOTTE, NC 28470-6501
Phone number: 910-754-2229
Mailing Address
DECOYA BLUE
PO BOX 2183
SHALLOTTE, NC 28459-2183
Phone number:
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