Individual
TARISSA CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
220 MCGEE RD, ANDERSON, SC 29625-2104
(864) 260-5541
Mailing address
220 MCGEE RD, ANDERSON, SC 29625-2104
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P49026
SC
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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