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Individual

PATRICIA C HASKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2378 RION RD, WINNSBORO, SC 29180-6292
(803) 718-6327
Mailing address
2378 RION RD, WINNSBORO, SC 29180-6292
(803) 718-6327

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
561338
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
561338
SC
Enumeration date
01/28/2022
Last updated
01/28/2022
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