Individual
RITA WINDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
700 21ST AVE N, MYRTLE BEACH, SC 29577-7400
(843) 448-8407
Mailing address
1931 INDUSTRIAL PARK RD, CONWAY, SC 29526-5482
(843) 448-8407
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P18667
SC
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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