Individual
MARILYN MARIE PERREAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 CHEYENNE RD, SUMMERVILLE, SC 29483-8301
(843) 469-0660
Mailing address
255 CHEYENNE RD, SUMMERVILLE, SC 29483-8301
(843) 469-0660
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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