Individual
JAQUAYA RENAE HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9916 SEASON GROVE LN APT 207, CHARLOTTE, NC 28216-6617
(440) 381-9313
Mailing address
9916 SEASON GROVE LN APT 207, CHARLOTTE, NC 28216-6617
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
294337
NC
163W00000X
Registered Nurse
404724
OH
163W00000X
Registered Nurse
4704316539
MI
Other
Enumeration date
10/17/2016
Last updated
03/27/2018
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