Individual
GABRIEL ADRIAN OSEGUERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
187 SOUTHPORT DR, SUMMERVILLE, SC 29483-7081
(843) 970-1011
Mailing address
187 SOUTHPORT DR, SUMMERVILLE, SC 29483-7081
(843) 970-1011
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12312
SC
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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