LAQUANZA A JETER

CHARLOTTE, NC
NPI1669201166
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies172A00000X Driver
251G00000X Hospice Care, Community Based
Enumeration Date2024-08-01
Last Update Date2024-08-01
Business Address
LAQUANZA A JETER
3600 WILKINSON BLVD
CHARLOTTE, NC 28208-5539
Phone number: 704-617-4050
Mailing Address
LAQUANZA A JETER
4117 WELLING AVE
CHARLOTTE, NC 28208-2114
Phone number: 704-712-4096