Individual
DIANE LEVESQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R N
Contact information
Practice address
4050 BRIDGEVIEW DRIVE, SUITE 600, NORTH CHARLESTON, SC 29405
(843) 953-0038
Mailing address
735 COLEMAN, APT 232, MT PLEASANT, SOUTH CAROLINA 29464
(843) 530-7545
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
21352
SC
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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