Individual
MS. VANESSA GENTLEMAN CANGIALOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM, LMT
Contact information
Practice address
240 STONE THROW DR, MURRELLS INLET, SC 29576-8213
(843) 283-7806
Mailing address
240 STONE THROW DR, MURRELLS INLET, SC 29576-8213
(843) 283-7806
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LMW-0076
SC
225700000X
Massage Therapist
2998
SC
374J00000X
Doula
—
—
Other
Enumeration date
10/09/2017
Last updated
03/11/2020
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