Individual
STEPHANIE FRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1369 POULTRY LN, EASTOVER, SC 29044-9341
(803) 466-8005
Mailing address
PO BOX 323, EASTOVER, SC 29044-0323
(803) 466-8005
(803) 353-3884
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
12171-C07
SC
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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