Individual
ARAKA Q WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 OLIVE BR, ANDERSON, SC 29626-5002
(864) 314-2564
Mailing address
113 OLIVE BR, ANDERSON, SC 29626-5002
(864) 314-2564
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
007227596
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007227596
DRIVERS LICENSE
SC
Enumeration date
03/01/2022
Last updated
03/01/2022
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