Individual
GENESIS MICHELLE AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
337 BUCKWALTER PLACE BLVD STE 201, BLUFFTON, SC 29910-5175
(910) 378-9211
Mailing address
59 DOLPHIN ST, BEAUFORT, SC 29906-4535
(504) 428-8411
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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