Individual
REBA REVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
241 DEAN RD, GREER, SC 29651-7451
(803) 240-2942
(888) 329-6432
Mailing address
241 DEAN RD, GREER, SC 29651-7451
(803) 240-2942
(888) 329-6432
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
SC
Other
Enumeration date
03/19/2007
Last updated
10/22/2009
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