Individual
MISS BRANDI NICOLE O'KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15891 WELLS HWY, SENECA, SC 29678-1078
(864) 888-0405
(864) 888-0019
Mailing address
15891 WELLS HWY, SENECA, SC 29678-1078
(864) 888-0405
(864) 888-0019
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
15686
SC
Other
Enumeration date
03/14/2006
Last updated
10/25/2007
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