Individual
EMILY CISEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLS
Contact information
Practice address
169 ASHLEY AVE RM 318, CHARLESTON, SC 29425-8905
(843) 792-5711
Mailing address
6893 SHAHID ROW, NORTH CHARLESTON, SC 29418-3563
(843) 751-7598
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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