Individual
MRS. RUTH OLIVIA GOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
7950 CROSSROADS DR APT 113, NORTH CHARLESTON, SC 29406-9411
(854) 444-9973
Mailing address
7950 CROSSROADS DR APT 113, NORTH CHARLESTON, SC 29406-9411
(854) 444-9973
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
—
SC
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629724372
—
SC
Enumeration date
05/07/2022
Last updated
05/07/2022
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