Individual
BRADY QUAKENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1904 TRADD CT, WILMINGTON, NC 28401-6637
(252) 751-0518
Mailing address
3851 DUNHAGAN RD STE 102, GREENVILLE, NC 27858-6640
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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