Individual
YAIMA FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
242 PIERPONT AVE, SPARTANBURG, SC 29303-2730
(737) 703-7411
Mailing address
242 PIERPONT AVE, SPARTANBURG, SC 29303-2730
(737) 703-7411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
266770
SC
363LF0000X
Family Nurse Practitioner
Primary
29909
SC
Other
Enumeration date
11/26/2024
Last updated
01/28/2025
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