Individual
MEGAN ARLEEN WALLACE-ROSSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3681 LEAPHART RD STE A, WEST COLUMBIA, SC 29169-3068
(803) 590-8548
Mailing address
3681 LEAPHART RD STE A, WEST COLUMBIA, SC 29169-3068
(803) 590-8548
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
094809
IA
Other
Enumeration date
07/08/2019
Last updated
11/17/2024
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