Mandeesa O Robinson Valid NPI

Individual provider · Licensed Practical Nurse · Moncks Corner, SC

NPI

1376203810

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

49734 (SC)

Sex

Female

Sole proprietor

Yes

Enumerated

2021-12-25

Last updated

2021-12-25