Individual
SHAUNA M. MAZIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
498 WANDO PARK BLVD STE 1150, MT PLEASANT, SC 29464-7971
(843) 940-5166
Mailing address
498 WANDO PARK BLVD STE 1150, MT PLEASANT, SC 29464-7971
(843) 940-5166
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3042
SC
Other
Enumeration date
03/17/2006
Last updated
10/11/2023
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