Individual
MS. ROBERSENA GIBBS PRAYLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 BOUNDARY ST, NEWBERRY, SC 29108-3707
(803) 928-7628
Mailing address
204 BOUNDARY ST, NEWBERRY, SC 29108-3707
(803) 928-7628
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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