Individual
CHAMBRE LANGSTON NELSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 DUTCH FORK RD, IRMO, SC 29063-8822
(803) 476-8000
Mailing address
1020 DUTCH FORK RD, IRMO, SC 29063-8822
(803) 476-8000
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
84470
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84470
—
SC
Enumeration date
01/22/2015
Last updated
01/22/2015
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