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School >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1457782757

Individual Registrant:
Gender: F
Sole Proprietor

Location and contact information for practice:
18731 ATOMIC RD  JACKSON, SC 29831-3456 US
Tel: 803-471-2237  Fax: 803-471-2202

Contact information for business:
18731 ATOMIC RD  JACKSON, SC 29831-3456 US
Tel: 803-471-2237  Fax: 803-471-2202

Registration Information:
NPI: 1457782757
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WS0200XNursing Service Providers
Registered Nurse

Legacy codes, insurance codes and state license numbers:



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