Individual
TOMERA HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
716 UNION ST # 1068, SPARTANBURG, SC 29306-3629
(864) 652-5588
Mailing address
716 UNION ST # 1068, SPARTANBURG, SC 29306-3629
(864) 652-5588
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
53136
SC
164W00000X
Licensed Practical Nurse
Primary
LPN.175943.MEDS-IV
OH
Other
Enumeration date
12/08/2020
Last updated
06/02/2023
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