Individual
MRS. KALA MARISSA ELAMPARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
112 MITFORD WAY, FOUNTAIN INN, SC 29644-2228
(770) 828-6427
Mailing address
112 MITFORD WAY, FOUNTAIN INN, SC 29644-2228
(770) 828-6427
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
228635
SC
Other
Enumeration date
05/17/2020
Last updated
05/17/2020
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