FANTASIA KIMMIAH PEREIRA

SPARTANBURG, SC
NPI1164169496
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: SC  52767)
Enumeration Date2022-05-18
Last Update Date2022-05-18
Business Address
FANTASIA KIMMIAH PEREIRA
250 DEWEY AVE
SPARTANBURG, SC 29303-3009
Phone number: 864-585-0366
Mailing Address
FANTASIA KIMMIAH PEREIRA
250 DEWEY AVE
SPARTANBURG, SC 29303-3009
Phone number: 864-585-0366