NPI 1184827214

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Organisation Specialist Wilmington, NC

Practice location

Address: 1705 Fordham Rd, Wilmington, NC 28403-7111
Phone: (910) 392-8021
Fax: (910) 338-0034
Mailing address: 1410 Marblehead CT, Wilmington, NC 28412-2086

Authorised official

Name: Nita Arroyo Usero
Title: Owner
Phone: (910) 392-8021

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 0962 (NC)

Other Specialist providers in North Carolina →

Registry record

NPI: 1184827214
Entity type: Organization
NPI issued: 6 Jun 2007
Record last updated: 4 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.