Individual
JEANETTE KLUCKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5117 BAPTIST HILL RD, HOLLYWOOD, SC 29449-6916
(843) 889-2276
(843) 889-2101
Mailing address
5117 BAPTIST HILL RD, HOLLYWOOD, SC 29449-6916
(843) 889-2276
(843) 889-2101
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
282621
SC
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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