Individual
NANCY BLOODSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5364 BIRDIE LN, HOLLYWOOD, SC 29449-6292
(804) 243-3888
Mailing address
5364 BIRDIE LN, HOLLYWOOD, SC 29449-6292
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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