Individual
BRENDA RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R N
Contact information
Practice address
129 WYLIE ST, CHESTER, SC 29706-1786
(803) 385-6152
Mailing address
1030 DAVIS DR, CHESTER, SC 29706-7704
(803) 385-6148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
72273
SC
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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