Individual
SABZADA MAMOON RASOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
805 PAMPLICO HWY, FLORENCE, SC 29505-6047
(843) 792-1414
Mailing address
805 PAMPLICO HWY, FLORENCE, SC 29505-6047
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
SC
Other
Enumeration date
06/27/2024
Last updated
07/06/2024
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