Individual
JACQUELINE FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
114 GLORIA RUSH CIR, GLOVERVILLE, SC 29828-2023
(803) 593-7280
(803) 593-7281
Mailing address
114 GLORIA RUSH CIR, GLOVERVILLE, SC 29828-2023
(803) 593-7280
(803) 593-7281
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R108130
SC
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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