STACEY RENA VANDALL

MYRTLE BEACH, SC
NPI1679786313
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  1504)
Enumeration Date2007-05-08
Last Update Date2016-09-30
Business Address
Miss STACEY RENA VANDALL PTA
455 SUNNEHANNA DR BOX 384
MYRTLE BEACH, SC 29588-5365
Phone number: 843-340-4478
Mailing Address
Miss STACEY RENA VANDALL PTA
455 SUNNEHANNA DR BOX 384
MYRTLE BEACH, SC 29588-5365
Phone number: 843-340-4478
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