EDWARD FRANCIS GONZALES

MYRTLE BEACH, SC
NPI1912379868
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  3353)
Enumeration Date2015-10-30
Last Update Date2015-10-30
Business Address
-- EDWARD FRANCIS GONZALES
165 AVONDALE DR
MYRTLE BEACH, SC 29588-5404
Phone number: 843-650-5684
Mailing Address
-- EDWARD FRANCIS GONZALES
165 AVONDALE DR
MYRTLE BEACH, SC 29588-5404
Phone number: 843-650-5684