Individual
RACHAEL JOANNA MASSULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2470 MALL DR STE C&D, NORTH CHARLESTON, SC 29406-6514
(843) 207-4721
Mailing address
2470 MALL DR, NORTH CHARLESTON, SC 29406-6514
(843) 207-4721
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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