Individual
MS. VANESSA JIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
919 TRUE ST STE H, COLUMBIA, SC 29209-1662
(839) 223-0831
(803) 233-4239
Mailing address
3 ANCHOR CT, COLUMBIA, SC 29229-7327
(839) 223-0831
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
008729661
SC
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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