KELLY GREENE GERVAIS

CHARLOTTE, NC
NPI1922159789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  151865)
Enumeration Date2007-01-16
Last Update Date2007-07-08
Business Address
-- KELLY GREENE GERVAIS
2001 VAIL AVE
CHARLOTTE, NC 28207-1219
Phone number: 704-304-5765
Mailing Address
-- KELLY GREENE GERVAIS
13950 CINNABAR PL
HUNTERSVILLE, NC 28078-5350
Phone number: