Individual
HAILEY JANE URQUIJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(191) 048-8212
Mailing address
81 ROTERHAM DR, CLAYTON, NC 27527-7094
(757) 513-3882
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
80669
VA
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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