Individual
MISS NIKITA RENEE IRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2413 WADE HAMPTON BLVD APT 73, GREENVILLE, SC 29615
(864) 309-9388
Mailing address
2413 WADE HAMPTON BLVD APT 73, GREENVILLE, SC 29615
(864) 309-9388
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
136625E
SC
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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