Individual
SEQUIA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13000 S TRYON ST STE F361, CHARLOTTE, NC 28278-7652
(980) 244-0835
Mailing address
13000 S TRYON ST STE F361, CHARLOTTE, NC 28278-7652
(980) 244-0835
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
101816671
SC
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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