Organization
QUEENS OF FAITH IN ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEZZARAYI POWELL (MEMBER)
(910) 736-6816
Entity
Organization
Contact information
Practice address
543 COX RD STE C3, GASTONIA, NC 28054-0650
(910) 736-6816
Mailing address
543 COX RD STE C3, GASTONIA, NC 28054-0650
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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