Individual
DR. VALERIE MARIE FANTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1001-A PHYSICIANS DR., CHARLESTON, SC 29414
(843) 571-1020
(843) 573-0788
Mailing address
1001-A PHYSICIANS DR., CHARLESTON, SC 29414
(843) 571-1020
(843) 573-0788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1009
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GCH363
—
SC
Enumeration date
04/04/2006
Last updated
02/15/2012
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