Individual
MAGGIE LEAN EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5324 CHEVAL PL, CHARLOTTE, NC 28205-4938
(704) 301-1568
Mailing address
5324 CHEVAL PL, CHARLOTTE, NC 28205-4938
(704) 301-1568
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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