THOMASENA SARAHDETTA WALLER

GREENVILLE, SC
NPI1679909659
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: SC  00049712)
Enumeration Date2013-09-23
Last Update Date2013-09-23
Business Address
-- THOMASENA SARAHDETTA WALLER RN
701 GROVE RD
GREENVILLE, SC 29605-4210
Phone number: 864-455-7000
Mailing Address
-- THOMASENA SARAHDETTA WALLER RN
102 LAUREL VIEW LN
GREENVILLE, SC 29607-4740
Phone number: