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Individual

REUBEN DIACHENKO

Active
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Individual

REUBEN DIACHENKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
211930
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
211930
SOUTH CAROLINA STATE BOARD OF NURSING (COMPACT LICENSE)
SC
Enumeration date
11/22/2022
Last updated
11/23/2022
Update your record

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