Individual
MAVIS NAKUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-BSN
Contact information
Practice address
115 KNIGHT CIR, CLEMSON, SC 29631-2113
(864) 653-5468
Mailing address
115 KNIGHT CIR, CLEMSON, SC 29631-2113
(864) 653-5468
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
212431
SC
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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