Individual
ROBIN D ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1228 COLONIAL COMMONS CT STE 231, LANCASTER, SC 29720-2200
(803) 289-5437
(803) 289-5440
Mailing address
1228 COLONIAL COMMONS CT STE 231, LANCASTER, SC 29720-2200
(803) 289-5437
(803) 289-5440
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
607
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4668
—
SC
Enumeration date
05/08/2008
Last updated
11/01/2012
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