Individual
MRS. RACHEL ANN GASQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
834 FARRAR DR, CONWAY, SC 29526-8747
(843) 347-9487
Mailing address
4303 LIVE OAK DR, LITTLE RIVER, SC 29566-9138
(843) 663-8000
(843) 663-8166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21601
SC
Other
Enumeration date
11/16/2017
Last updated
02/09/2022
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