GWENDOLYN ELAINE PETERSON-TAITAGUE

WEST COLUMBIA, SC
NPI1679149280
Professional NameGWENDOLYN ELAINE TAITAGUE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  24676)
Enumeration Date2021-06-03
Last Update Date2024-01-17
Business Address
GWENDOLYN ELAINE PETERSON-TAITAGUE
1535 PLATT SPRINGS RD # 4283
WEST COLUMBIA, SC 29169-5502
Phone number: 760-223-3098
Mailing Address
GWENDOLYN ELAINE PETERSON-TAITAGUE
1535 PLATT SPRINGS RD # 4283
WEST COLUMBIA, SC 29169-5502
Phone number: