Individual
MARQUETTA L THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRT HAIR REPLACEMENT
Contact information
Practice address
2203 SOUTHERN AVE, FAYETTEVILLE, NC 28306-2257
(910) 978-3276
Mailing address
545 HILLIARD DR, FAYETTEVILLE, NC 28311-2689
(910) 978-3276
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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