Individual
REBECCA MAZZEI WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2100 BULL STREET, O-422, COLUMBIA, SC 29201-2104
(803) 206-6385
Mailing address
290 CRYSTAL PEAK DR, GRANITEVILLE, SC 29829-3750
(803) 341-7181
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
247035
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247035
SC LLR SBON
SC
Enumeration date
04/28/2022
Last updated
04/28/2022
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