Individual
BERTINA HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
613 NEWBERRY HWY, SALUDA, SC 29138-8903
(864) 445-2141
Mailing address
613 NEWBERRY HWY, SALUDA, SC 29138-8903
(864) 445-2141
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P33415
SC
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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