Individual
MISS TOQUITA VINESHIA MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 BENTLEY CT # 1415, COLUMBIA, SC 29210-7996
(803) 842-1264
Mailing address
1415 BENTLEY CT # 1415, COLUMBIA, SC 29210-7996
(803) 842-1264
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9992295
SC
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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