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Licensee Information

Juana Diaz Perez - PA-C
0010-04708
Active
No
01/03/2014
12/25/2026

Active Supervisor

NameTypeStatusApprovedInactive
Zaffino, MaryShell Brosche, MD MD Active 03/29/2016

Team Based Practice (TBP)

TBP Address
NameAddress 1Address 2CityStateZip
Blue Ridge Health2579 Chimney Rock RdHendersonvilleNC28792
TBP Specialty
SpecialtyType
None Reported

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
None Reported

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 9/21/2026 12:30:52 AM
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