EDENBOROUGH GENOSA HIBIONADA

MYRTLE BEACH, SC
NPI1912891615
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251G0304X Physical Therapist, Geriatrics
(Licence: SC  2841)
Enumeration Date2025-06-06
Last Update Date2025-06-06
Business Address
Mr. EDENBOROUGH GENOSA HIBIONADA
3412 PICKET FENCE LN
MYRTLE BEACH, SC 29579-3323
Phone number: 843-450-4936
Mailing Address
Mr. EDENBOROUGH GENOSA HIBIONADA
3412 PICKET FENCE LN
MYRTLE BEACH, SC 29579-3323
Phone number: 843-450-4936