Individual
MS. BLONDENIA LABREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1023 SILVER BLUFF RD, AIKEN, SC 29803-5879
(803) 502-5515
Mailing address
1291 CUMMINGS RD, RIDGE SPRING, SC 29129-9651
(803) 270-3351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN148963
GA
363L00000X
Nurse Practitioner
Primary
RN148963
GA
Other
Enumeration date
10/15/2018
Last updated
12/12/2024
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