Individual
MRS. DELLARESE LEE PRIESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6437 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(800) 827-1000
Mailing address
122 DRAKEWOOD DR, COLUMBIA, SC 29212-8285
(404) 791-6931
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN202891
GA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN202891
GA
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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