Individual
MA MELISSA REYES SARMIENTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2725 CARRIAGE LN, FLORENCE, SC 29505-6498
(843) 617-1294
Mailing address
2725 CARRIAGE LN, FLORENCE, SC 29505-6498
(843) 617-1294
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
28665
SC
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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