MANUEL AUGUSTO VALDEBRAN CANALES

SUMMERVILLE, SC
NPI1013553957
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: SC  4383413)
Enumeration Date2019-11-26
Last Update Date2024-12-12
Business Address
MANUEL AUGUSTO VALDEBRAN CANALES
5500 FRONT ST STE 440
SUMMERVILLE, SC 29486-8137
Phone number: 843-985-3565
Mailing Address
MANUEL AUGUSTO VALDEBRAN CANALES
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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