Individual
EVA GAILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
452 CASSENA CIR, BAMBERG, SC 29003-2224
(864) 940-5696
Mailing address
452 CASSENA CIR, BAMBERG, SC 29003-2224
(864) 940-5696
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
90623
SC
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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