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Organization

U-CRANIAL PROSTHETICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TEQUILA LASHADA NEAL (PROVIDER)
(704) 944-3132
Entity
Organization

Contact information

Practice address
10130 MALLARD CREEK RD, CHARLOTTE, NC 28262-6000
(704) 944-3132
Mailing address
10130 MALLARD CREEK RD, CHARLOTTE, NC 28262-6000
(704) 944-3132

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary

Other

Enumeration date
07/29/2026
Last updated
07/29/2026
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