Theraque
NPI #1225760325 in Wilmington, North Carolina
Provider Information
- NPI Number
- 1225760325
- Entity Type
- Organization
- Organization Name
- Theraque
- Primary Specialty
- Clinic/Center - Corporate Health
- Enumeration Date
- Jun 28, 2022
- Last Updated
- Jun 28, 2022
Practice Location
- Address
- 301 GOVERNMENT CENTER DR STE 200
- City
- Wilmington
- State
- North Carolina
- ZIP Code
- 28403-1796
- Phone
- (910) 828-7117
Authorized Official
- Name
- AMBER WYSOCKI
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (910) 828-7117
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preventive Medicine - Public Health & General Preventive Medicine — Public Health & General Preventive Medicine |
| General Practice |
| Clinic/Center - Community Health — Community Health |
| Clinic/Center - Corporate Health — Corporate Health |
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