Individual
MRS. SADEQUA JONES-MCQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
C84039
NC
224P00000X
Prosthetist
C84039
NC
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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