MADINA SANTIAGO JUCABAN

WEST COLUMBIA, SC
NPI1417553116
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  24397)
Enumeration Date2020-12-08
Last Update Date2024-09-18
Business Address
MADINA SANTIAGO JUCABAN FNP-C
146 E HOSPITAL DR STE 140
WEST COLUMBIA, SC 29169-4800
Phone number: 803-791-2203
Mailing Address
MADINA SANTIAGO JUCABAN FNP-C
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number: 803-791-2203