Individual
LISA ANN ST ONGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 CRESCENT POINTE DR APT 1117, NORTH CHARLESTON, SC 29418-3768
(603) 396-9428
Mailing address
4650 CRESCENT POINTE DR APT 1117, NORTH CHARLESTON, SC 29418-3768
(603) 396-9428
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
015965-22
NH
Other
Enumeration date
01/01/2025
Last updated
01/01/2025
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