Individual
HEATHER SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3365 MITCHELL STREET, LORIS, SC 29569-9601
(843) 716-7596
Mailing address
3365 MITCHELL STREET, LORIS, SC 29569-9601
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3991
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3991
STATE LICENSE
SC
Enumeration date
09/14/2009
Last updated
09/14/2009
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