Individual
EUNICE P RAVENELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
143 BALBRIGGAN DR, GOOSE CREEK, SC 29445-5756
(843) 270-2165
Mailing address
143 BALBRIGGAN DR, GOOSE CREEK, SC 29445-5756
(843) 270-2165
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374J00000X
—
SC
Enumeration date
11/04/2021
Last updated
11/04/2021
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