Individual
PETRA STEEN ULCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1539 MARTIN ST, NEWBERRY, SC 29108-2831
(803) 694-2320
(803) 694-3835
Mailing address
2597 SC HIGHWAY 66, WHITMIRE, SC 29178
(803) 694-2320
(803) 694-3835
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
213155
SC
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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