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Laquisha Gravely

NPI 1104402650 · on the registry since 2021 · sole proprietor

Practice

Address
902 S Reilly Rd
Fayetteville, NC 28314
Phone
(910) 491-6356
Fax
(910) 491-8128
Clinicians at this address
6

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YP2500X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina