Individual
SANDRA DIANE WASKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
885 TIGER BLVD, CLEMSON, SC 29631-1480
(864) 654-6800
Mailing address
PO BOX 293, CLEMSON, SC 29633-0293
(864) 886-0777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
803
SC
Other
Enumeration date
02/03/2008
Last updated
02/03/2008
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