Individual
AILENE G CAULDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BROAD ST, MULLINS, SC 29574-2532
(843) 464-3740
Mailing address
410 N BEAR SWAMP RD, LAKE VIEW, SC 29563-5152
(843) 759-5190
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P31486
SC
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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