Individual
PAMELA ORANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 SPARKLBERRY LANE, FLORENCE, SC 29506
(843) 495-0727
Mailing address
2501 SPARKLEBERRY LN, FLORENCE, SC 29506-7311
(843) 495-0727
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
000000000000000000
SC
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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