Individual
MRS. KATRINA J. MINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
320 BOYD RD, NEWBERRY, SC 29108-9433
(803) 924-5502
Mailing address
320 BOYD RD, NEWBERRY, SC 29108-9433
(803) 924-5502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
66038
SC
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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