Individual
RAJWANTIE MICCICHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ELECTROLOGIST
Contact information
Practice address
2420 DELANEY HILLS LN, FUQUAY VARINA, NC 27526-3982
(518) 867-2532
Mailing address
2420 DELANEY HILLS LN, FUQUAY VARINA, NC 27526-3982
(919) 307-9296
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
E-339
NC
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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