Individual
KATHERINE ELIZABETH BURRISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 LAKELAND AVE, MOORE, SC 29369-9799
(864) 221-2765
Mailing address
131 LAKELAND AVE, MOORE, SC 29369-9799
(864) 221-2765
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
552696
SC
Other
Enumeration date
01/12/2022
Last updated
01/13/2022
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