Individual
ELYSA MAUNDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 AMBERJACK CT, TAYLORS, SC 29687-4853
(864) 979-5161
Mailing address
222 AMBERJACK CT, TAYLORS, SC 29687-4853
(864) 979-5161
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
24541
SC
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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