Individual
MS. SIVI BURNS DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LPN
Contact information
Practice address
1135 CARTER ST, COLUMBIA, SC 29204-2811
(803) 786-1183
Mailing address
1135 CARTER STREET, COLUMBIA, SC 29204-2811
(803) 786-1183
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PR38235
SC
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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