MARY DETOMA

CHARLESTON, SC
NPI1225143761
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SC  F245)
Enumeration Date2006-08-21
Last Update Date2007-07-08
Business Address
-- MARY DETOMA FNP
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
Mailing Address
-- MARY DETOMA FNP
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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