Individual
ESTHER IKENEGBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
216 LEAWOOD AVE, ANDERSON, SC 29621-7563
(864) 202-9137
Mailing address
216 LEAWOOD AVE, ANDERSON, SC 29621-7563
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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