Individual
QUARSHAE LYSONDRA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
528 ELLINGSWORTH LN, CHARLOTTE, NC 28214-8464
(980) 319-2907
Mailing address
528 ELLINGSWORTH LN, CHARLOTTE, NC 28214-8464
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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