Individual
ALAINA GRACE GAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 OAK ST, MC COLL, SC 29570-1421
(843) 253-6786
Mailing address
103 OAK ST, MC COLL, SC 29570-1421
(843) 253-6786
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/08/2022
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