Espiritu Clinic PLLC
Specialist in Conover, NC. Organization (NPI-2).
NPI number1497722359
StatusActive
Last updated in NPPESJan 21, 2011
Details
- NPI
- 1497722359
- Entity type
- Organization (NPI-2)
- Legal business name
- Espiritu Clinic PLLC
- Organization subpart
- No
- Enumeration date
- Feb 28, 2006
- Last updated
- Jan 21, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
715 Fairgrove Church Rd SeSuite 204
Conover, NC 28613-9290
Phone 888-898-7130 · Fax 828-322-7921
Mailing address
2425 N Center St370
Hickory, NC 28601-1320
Phone 888-898-7130 · Fax 828-322-7921
Authorized official
Hernane Bautista Espiritu
Practice Manager
8888987130
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