Individual
MRS. JANIS BLALOCK COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
628 STAFFORD AVE, SPARTANBURG, SC 29302-4526
(864) 590-3278
Mailing address
628 STAFFORD AVE, SPARTANBURG, SC 29302-4526
(864) 590-3278
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
20646
SC
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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