Individual
MANASSEH MENYONGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
323 GUADALCANAL ST, GOOSE CREEK, SC 29445-6254
(240) 381-0167
Mailing address
323 GUADALCANAL ST, GOOSE CREEK, SC 29445-6254
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/19/2025
Last updated
04/19/2025
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