Individual
MARLENE OLVERA LOMELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MCDANIEL AVE, PICKENS, SC 29671-2527
(864) 508-0426
Mailing address
442 WOOD ST, CENTRAL, SC 29630-9271
(864) 508-0426
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
233958
SC
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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