Individual
AUDREY ZONGRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 E KILLARNEY LK, MOORE, SC 29369-9489
(864) 517-2804
Mailing address
350 E KILLARNEY LK, MOORE, SC 29369-9489
(864) 517-2804
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3395
SC
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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