Individual
MRS. AUTUMN R ZAMUDIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.A.
Contact information
Practice address
1118 W. FAIRFILED DR., W. COLUMBIA, SC 29170
(803) 920-2215
Mailing address
1118 W. FAIRFILED DR., W. COLUMBIA, SC 29170
(803) 920-2215
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
136525E
SC
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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