Individual
BRENDA L POALILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
595 W CAROLINA AVE, VARNVILLE, SC 29944-4735
(803) 943-1217
(803) 943-1208
Mailing address
595 W CAROLINA AVE, VARNVILLE, SC 29944-4735
(803) 943-1217
(803) 943-1208
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20760
SC
Other
Enumeration date
07/05/2017
Last updated
07/21/2022
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