Individual
BRANDY N MANIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
314 MAYBANK LN, WALTERBORO, SC 29488-6916
(843) 599-0422
Mailing address
314 MAYBANK LN, WALTERBORO, SC 29488-6916
(843) 599-0422
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
206972
SC
Other
Enumeration date
01/28/2018
Last updated
01/28/2018
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