DANIELLE WIESE PROX

CHARLESTON, SC
NPI1285291187
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SC  22266)
Enumeration Date2019-05-26
Last Update Date2019-05-26
Business Address
DANIELLE WIESE PROX
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-1414
Mailing Address
DANIELLE WIESE PROX
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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