Individual
WANASHA BRABHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 SUZIE PL, ANDREWS, SC 29510-5073
(843) 461-4085
Mailing address
41 SUZIE PL, ANDREWS, SC 29510-5073
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
92866
SC
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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