Individual
MRS. TABITHA LIVINGSTON FAMBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 S CALHOUN ST, GREENVILLE, SC 29601-3211
(864) 552-1679
Mailing address
7 S CALHOUN ST, GREENVILLE, SC 29601-3211
(864) 552-1679
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
150676R
SC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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