Individual
STEPHANIE RENEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11015 ELLENTON ST, BARNWELL, SC 29812-7307
(803) 547-1061
Mailing address
11015 ELLENTON ST, BARNWELL, SC 29812-7307
(803) 547-1061
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
257359
SC
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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