Individual
HA LONG MINH BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1820 FIRST DRIVE, CHARLESTON, SC 29407
(843) 259-8853
(888) 808-4249
Mailing address
1964 ASHLEY RIVER RD UNIT 80901B, CHARLESTON, SC 29416-1637
(803) 389-9466
(888) 808-4249
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
8885473431295931
SC
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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