Individual
PENNY LOIS MELENDEZ-SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2021 GIBRALTAR RD, CAYCE, SC 29033-1405
(803) 960-3097
Mailing address
2021 GIBRALTAR RD, CAYCE, SC 29033-1405
(803) 960-3097
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28220
SC
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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