Individual
MRS. KRISTIE MANJARREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-8347
Mailing address
642 OAKHURST DR, MYRTLE BEACH, SC 29579-5223
(843) 503-2973
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
93257
SC
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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