Individual
DINEQUA D FIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
460 KING ST STE 200, CHARLESTON, SC 29403-6229
(313) 623-7647
Mailing address
460 KING ST STE 200, CHARLESTON, SC 29403-6229
(313) 623-7647
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
27752
SC
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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