MAQUETIA LOGUE

CONWAY, SC
NPI1528512829
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  20365)
Enumeration Date2016-08-04
Last Update Date2016-08-04
Business Address
-- MAQUETIA LOGUE
600 SINGLETON RIDGE RD
CONWAY, SC 29526-9154
Phone number: 843-347-9099
Mailing Address
-- MAQUETIA LOGUE
600 SINGLETON RIDGE RD
CONWAY, SC 29526-9154
Phone number: 843-347-9099
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