Individual
ANGELA MEXICOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
721 WAPPOO RD, CHARLESTON, SC 29407-5861
(843) 203-3891
Mailing address
721 WAPPOO RD, CHARLESTON, SC 29407-5861
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
207329
SC
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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