Individual
GERALD L DUVALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 28TH AVE S APT 8, MYRTLE BEACH, SC 29577-4841
(843) 940-0490
Mailing address
210 28TH AVE S APT 8, MYRTLE BEACH, SC 29577-4841
(843) 940-0490
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13259
SC
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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