Individual
MATIETH NICOLE PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
347 LAKEVIEW DR, ORANGEBURG, SC 29115-7615
(803) 747-8600
Mailing address
347 LAKEVIEW DR, ORANGEBURG, SC 29115-7615
(803) 747-8600
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
39217.P
SC
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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