Individual
HOLLY ELIZABETH ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 LUCAS AVE, LAURENS, SC 29360-2149
(864) 984-3986
Mailing address
601 LUCAS AVE, LAURENS, SC 29360-2149
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
109266
SC
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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