ANN THERESA VIDAL

IRMO, SC
NPI1457903429
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
Enumeration Date2019-07-10
Last Update Date2019-07-10
Business Address
MRS. ANN THERESA VIDAL
425 CORAL ROSE DR
IRMO, SC 29063-7503
Phone number: 347-693-0526
Mailing Address
MRS. ANN THERESA VIDAL
425 CORAL ROSE DR
IRMO, SC 29063-7503
Phone number: 347-693-0526
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