Individual
MRS. KIMBERLY DENISE SMALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 SAINT JAMES AVE, GOOSE CREEK, SC 29445-2976
(843) 377-8637
Mailing address
221 SAINT JAMES AVE, GOOSE CREEK, SC 29445-2976
(843) 377-8637
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
139836
SC
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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