Individual
DINA DEMEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
661 ROCK LAKE GLN, FORT MILL, SC 29715-0002
(803) 517-6988
Mailing address
661 ROCK LAKE GLN, FORT MILL, SC 29715-0002
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
230907
SC
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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