Individual
DORIS BRENNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 LIONS TRL, WARRENVILLE, SC 29851-2239
(803) 593-7260
(803) 593-7119
Mailing address
29 LIONS TRL, WARRENVILLE, SC 29851-2239
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R25123
SC
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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