Individual
DIANA FASS KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6949 SAINT ANDREWS RD, COLUMBIA, SC 29212-1142
(803) 476-8309
Mailing address
6949 SAINT ANDREWS RD, COLUMBIA, SC 29212-1142
(803) 476-8309
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R80967
SC
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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