Individual
DEBORAH DANFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4050 BRIDGE VIEW DR, CHARLESTON, SC 29405-7488
(843) 953-0038
Mailing address
4050 BRIDGE VIEW DR, CHARLESTON, SC 29405-7488
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
80009
SC
Other
Enumeration date
10/01/2014
Last updated
10/10/2014
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