LATYEASARAL MONQUELLA BENNETT

CHARLOTTE, NC
NPI1942658422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  5008577)
Enumeration Date2016-05-25
Last Update Date2019-09-03
Business Address
LATYEASARAL MONQUELLA BENNETT N.P.
7845 LITTLE AVE
CHARLOTTE, NC 28226-8198
Phone number: 704-375-0100
Mailing Address
LATYEASARAL MONQUELLA BENNETT N.P.
607 S GENERALS BLVD
LINCOLNTON, NC 28092-3658
Phone number: 704-736-9188