Individual
GIANNA DEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 714-4101
Mailing address
1325 SPRING ST, GREENWOOD, SC 29646-3875
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
SC
Other
Enumeration date
11/22/2025
Last updated
11/22/2025
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