Individual
SHELBY DAMPAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 WYLIE ST, CHESTER, SC 29706-1786
(803) 385-6152
Mailing address
129 WYLIE ST, CHESTER, SC 29706-1786
(803) 385-6152
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
261133
SC
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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