Individual
DESIREE EUBANKS HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
141 TWIN LAKE RD, GAFFNEY, SC 29341-2526
(864) 206-2201
Mailing address
101 DUSTY TRL, GAFFNEY, SC 29340-5513
(864) 490-6058
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
240237
SC
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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