Individual
KIMYA KATRESE JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 CLYBURN PL, AIKEN, SC 29801-4193
(803) 380-7000
(803) 502-8491
Mailing address
1000 CLYBURN PL, AIKEN, SC 29801-4193
(803) 380-7000
(803) 502-8491
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
238684
SC
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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