Individual
NICOLETTE PORTELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2586 WOODRUFF RD, SIMPSONVILLE, SC 29681-5447
(864) 288-8836
Mailing address
2586 WOODRUFF RD, SIMPSONVILLE, SC 29681-5447
(864) 288-8836
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42569
SC
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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