FANTASIA IZOLIA CHANDLER

ORANGEBURG, SC
NPI1578055471
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: SC  21694)
Enumeration Date2018-06-06
Last Update Date2024-04-15
Business Address
FANTASIA IZOLIA CHANDLER APRN
575 STONEWALL JACKSON BLVD
ORANGEBURG, SC 29115-7250
Phone number: 864-316-8984
Mailing Address
FANTASIA IZOLIA CHANDLER APRN
159 CHANSTALAS RD
SALLEY, SC 29137-9435
Phone number: 803-608-8938