Individual
MRS. MICHELE RENEE GASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
240 N LEO RD, LAKE CITY, SC 29560-6833
(803) 816-0284
Mailing address
208 OSPREY LN, HOPKINS, SC 29061-9498
(803) 873-2501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
211048
SC
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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