Individual
MRS. SANDRA K BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
124 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 241-1040
(864) 241-1124
Mailing address
5 LEE EAST CT, TAYLORS, SC 29687-3059
(864) 322-7377
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
70141
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301100
—
SC
Enumeration date
07/22/2006
Last updated
07/08/2007
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