Individual
CARRIE RIESTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1375 HOSPITAL DR, MOUNT PLEASANT, SC 29464-3254
(619) 723-7630
Mailing address
1375 HOSPITAL DR, MOUNT PLEASANT, SC 29464-3254
(619) 723-7630
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2013
Last updated
05/15/2022
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