Individual
KIMBERLY LUOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1400 OLD TAMAH RD, IRMO, SC 29063-9799
(803) 476-3329
Mailing address
1400 OLD TAMAH RD, IRMO, SC 29063-9799
(803) 476-3329
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
83230
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83230
—
SC
Enumeration date
04/23/2013
Last updated
04/23/2013
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