Individual
MRS. TRACEY PHILYAW SADLOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
51 LAKESIDE AVE # 28630, GRANITE FALLS, NC 28630-1752
(828) 729-1950
(000) 000-0000
Mailing address
51 LAKESIDE AVE # 28630, GRANITE FALLS, NC 28630-1752
(828) 729-1950
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
7690127
NC
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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