Individual
MS. KIMBERLY SEEGERS FASANARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7753 NORTHSIDE DR, NORTH CHARLESTON, SC 29420-8944
(843) 824-8728
(843) 824-8729
Mailing address
7753 NORTHSIDE DR, NORTH CHARLESTON, SC 29420-8944
(843) 824-8728
(843) 824-8729
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
243015
SC
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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