Individual
KEISHA PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 BLAKEY CT, EUTAWVILLE, SC 29048-8936
(803) 971-0011
Mailing address
133 BLAKEY CT, EUTAWVILLE, SC 29048-8936
(803) 971-0011
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
233287
SC
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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