Individual
CONSTANCE YVETTE PURNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2728 DECKER BLVD, COLUMBIA, SC 29206-1705
(803) 724-8245
Mailing address
2728 DECKER BLVD, COLUMBIA, SC 29206-1705
(803) 724-8245
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
20783
SC
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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