Individual
TEREZA CLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA, BS
Contact information
Practice address
145 EXCALIBER CT, GASTON, SC 29053-9744
(803) 977-0399
Mailing address
145 EXCALIBER CT, GASTON, SC 29053-9744
(803) 977-0399
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
168130
SC
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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