Provider Demographics
NPI:1588252092
Name:CAPORALE-SNYDER, FRANCES M
Entity type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:M
Last Name:CAPORALE-SNYDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 RIVER COUNTRY DR
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-7383
Mailing Address - Country:US
Mailing Address - Phone:843-424-2159
Mailing Address - Fax:
Practice Address - Street 1:215 RONNIE CT STE A
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579-4204
Practice Address - Country:US
Practice Address - Phone:843-796-2729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-10
Last Update Date:2021-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10171225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist