Individual
BERNICE LADSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75O MAGNOLIA ROAD, CHARLESTON, SC 29407
(540) 333-7919
Mailing address
750 MAGNOLIA RD, CHARLESTON, SC 29407-7037
(540) 333-7919
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
80784
SC
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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