Individual
MRS. SUZETTE MOLLENIDO SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4011 LAKE RUSSELL DR, FLORENCE, SC 29501-8147
(843) 861-2120
Mailing address
4011 LAKE RUSSELL DR, FLORENCE, SC 29501-8147
(843) 861-2120
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06230876
SC
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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