Individual
AMANDA HARQUAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
191 GREENLYN DR, CLAYTON, NC 27527-5064
(808) 782-7403
Mailing address
191 GREENLYN DR, CLAYTON, NC 27527-5064
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20657
NC
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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