Individual
MRS. TANYA NICHOLE QUARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3 PAR DR, JOHNSTON, SC 29832-2729
(803) 275-1752
(803) 275-1751
Mailing address
3 PAR DR, JOHNSTON, SC 29832-2729
(803) 275-1752
(803) 275-1751
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
251300000X
SC
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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