Individual
ALAYNA DEFALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CEP
Contact information
Practice address
1320 501 BUSINESS, UNIT E, CONWAY, SC 29526
(843) 331-3424
Mailing address
1320 501 BUSINESS, UNIT E, CONWAY, SC 29526
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-0765559
PREVENTATIVE MEDICINE FACILITY
SC
Enumeration date
01/22/2020
Last updated
01/22/2020
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