NPI 1134978547

Chavora Roseboro

Practitioner Driver Charlotte, NC

Practice location

Address: 1135 Bridgefield Pl APT 103, Charlotte, NC 28216-6030
Phone: (704) 232-4815

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1134978547
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 May 2024
Record last updated: 16 May 2024

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.