Organization
EL SANCTUARY
Active
Other names
The Sanctuary
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QETSIYAH S YISRAEL PHD (DIRECTOR)
(919) 351-9814
Entity
Organization
Contact information
Practice address
4501 NEW BERN AVE, #130-196, RALEIGH, NC 27610-1549
(919) 351-9814
(919) 255-6119
Mailing address
4501 NEW BERN AVE, #130-196, RALEIGH, NC 27610-1549
(919) 351-9814
(919) 255-6119
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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