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Individual

MISS AKEMI RAISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
100 BEATTIES FORD RD, CHARLOTTE, NC 28216-5302
(704) 378-3506
Mailing address
5704 SLOPING OAKS RD, APT 104, CHARLOTTE, NC 28212-8339

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
NC

Other

Enumeration date
07/24/2014
Last updated
07/24/2014
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