Individual
ELEANOR INGRID DE WITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5107 NOKESVILLE CIR, AIKEN, SC 29803-9734
(808) 651-4977
Mailing address
5107 NOKESVILLE CIR, AIKEN, SC 29803-9734
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
53187
SC
Other
Enumeration date
08/24/2024
Last updated
08/24/2024
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