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Individual

STACY HOFMAN JASKWHICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
772 N TOWNVILLE ST, SENECA, SC 29678-2645
(864) 886-9300
(864) 886-9399
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
RN166903
GA
363L00000X
Nurse Practitioner
Primary
28174
SC

Other

Enumeration date
04/26/2006
Last updated
12/14/2023
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