NICOLE BURNSIDE

SENECA, SC
NPI1073939013
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: SC  38417P)
Enumeration Date2014-03-14
Last Update Date2014-03-14
Business Address
Mrs. NICOLE BURNSIDE
609 N TOWNVILLE ST
SENECA, SC 29678-2642
Phone number: 864-882-2245
Mailing Address
Mrs. NICOLE BURNSIDE
609 N TOWNVILLE ST
SENECA, SC 29678-2642
Phone number: 864-882-2245
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