Individual
KASSANDRA ALYSSA FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 EDGEWOOD DR, GREENVILLE, SC 29605-4235
(864) 455-7861
Mailing address
13 EDGEWOOD DR, GREENVILLE, SC 29605-4235
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
92636
SC
Other
Enumeration date
03/28/2024
Last updated
08/12/2024
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