Individual
MS. PATRICIA ANN MCQUILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
114 CHOWNINGS LN, GOOSE CREEK, SC 29445-5432
(843) 532-4709
Mailing address
114 CHOWNINGS LN, GOOSE CREEK, SC 29445-5432
(843) 532-4709
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P29511
SC
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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