Individual
ASHLEY GRACE MAIETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 CHARTWELL CT, MYRTLE BEACH, SC 29588-7273
(843) 333-2816
Mailing address
207 CHARTWELL CT, MYRTLE BEACH, SC 29588-7273
(843) 333-2816
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
29298
SC
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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