Individual
MARQUETTA BRESLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 SALT MEADOW LN, SUMMERVILLE, SC 29483-5334
(843) 801-3792
Mailing address
125 SALT MEADOW LN, SUMMERVILLE, SC 29483-5334
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
70398
SC
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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