Individual
MARY DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
328 FLEET CIR, DARLINGTON, SC 29532-7677
(843) 639-3419
Mailing address
328 FLEET CIR, DARLINGTON, SC 29532-7677
(843) 639-3419
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
142632
SC
Other
Enumeration date
05/25/2021
Last updated
11/17/2021
About Stedi
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