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ALICIA PROVENZANO, PA
PA
Physician Assistant
NPI: 1396098661IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
0010-06796(NC)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Class of 2012
Contact & Hours
- Address
- 3400 WAKE FOREST RD
RALEIGH, NC 27609 - Phone
- (919) 862-2731
Quick Facts
- NPI
- 1396098661
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 14
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