STACEY GLEN BANIS

WEST COLUMBIA, SC
NPI1396389938
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  23374)
Enumeration Date2019-11-06
Last Update Date2019-11-27
Business Address
STACEY GLEN BANIS APRN
1053 CENTER STREET SC HOUSE CALLS INC
WEST COLUMBIA, SC 29169
Phone number: 800-491-0909
Mailing Address
STACEY GLEN BANIS APRN
1053 CENTER STREET SC HOUSE CALLS INC
WEST COLUMBIA, SC 29169
Phone number: 800-491-0909
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