JONATHAN BAZA

LUMBERTON, NC
NPI1861840803
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NC  219504)
Enumeration Date2016-06-01
Last Update Date2016-12-27
Business Address
-- JONATHAN BAZA DO
300 W 27TH ST
LUMBERTON, NC 28358-3075
Phone number: 910-738-2662
Mailing Address
-- JONATHAN BAZA DO
300 W 27TH ST
LUMBERTON, NC 28358-3075
Phone number: 910-738-2662
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