Individual
BERNABE MANASHES JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
9200 UNIVERSITY BLVD, NORTH CHARLESTON, SC 29406-9121
(843) 863-7000
Mailing address
390 FRANKIE LN, LADSON, SC 29456-3040
(843) 534-8800
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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