Individual
KIRSTEN LYNN FIFELSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
507 JERUSALEM BRANCH RD, SALLEY, SC 29137-9729
(803) 378-9554
Mailing address
507 JERUSALEM BRANCH RD, SALLEY, SC 29137-9729
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
103821
SC
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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