Individual
KIMBERLY PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136C N MUSTANG RD, FLORENCE, SC 29506-3600
(843) 409-9875
Mailing address
136C N MUSTANG RD, FLORENCE, SC 29506-3600
(843) 409-9875
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
124446
SC
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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