Individual
MISS STACIE A WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
6125 GRAYGATE LN APT E, CHARLOTTE, NC 28210-4057
(704) 552-4807
Mailing address
6125 GRAYGATE LN APT E, CHARLOTTE, NC 28210-4057
(704) 552-4807
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
065214
NC
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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