Individual
TANYA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
702 QUINTAN ST, SUMMERVILLE, SC 29486-0400
(276) 780-1408
Mailing address
702 QUINTAN ST, SUMMERVILLE, SC 29486-0400
(276) 780-1408
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001209531
VA
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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