Individual
MRS. YVETTE OMBOUGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 UNIVERSITY RIDGE, GREENVILLE, SC 29601
(864) 372-3053
Mailing address
17 TRAILSTREAM DR, MAULDIN, SC 29662-3322
(846) 884-9689
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
210436
SC
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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