Organization
SASE CHYK ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENEKA JAVONA MCMILLAN (PRESIDENT)
(910) 261-2634
Entity
Organization
Contact information
Practice address
1111 IRELAND DR STE 103, FAYETTEVILLE, NC 28304-3329
(910) 261-2634
Mailing address
1111 IRELAND DR STE 103, FAYETTEVILLE, NC 28304-3329
(910) 261-2634
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
10/28/2018
Last updated
10/28/2018
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