Individual
TRENA WISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 TWIN LAKE RD, GAFFNEY, SC 29341-2538
(864) 206-2138
Mailing address
149 TWIN LAKE RD, GAFFNEY, SC 29341-2538
(864) 206-2138
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
65675
SC
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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