Individual
NAKIA WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
280 SUNSET BLVD, CLINTON, SC 29325-5269
(678) 308-9387
Mailing address
280 SUNSET BLVD, CLINTON, SC 29325-5269
(678) 308-9387
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
228808
SC
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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