Individual
NICOLE DENISE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
219 S LEMACKS ST, WALTERBORO, SC 29488-4374
(531) 533-5480
Mailing address
951 BRAMBLE LN, ORANGEBURG, SC 29115-2633
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
09/29/2019
Last updated
09/29/2019
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