PHYLICIA BONHAM

CHARLESTON, SC
NPI1184381766
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: SC  25848)
Enumeration Date2021-11-18
Last Update Date2022-04-18
Business Address
PHYLICIA BONHAM
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-285-9670
Mailing Address
PHYLICIA BONHAM
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-285-9670