Individual
MRS. TRACIE JO HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3321 LADSON RD., LADSON, SC 29456
(843) 764-2225
(843) 569-5468
Mailing address
3321 LADSON RD, LADSON, SC 29456-3905
(843) 764-2225
(843) 569-5468
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R77450
SC
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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