DIERA BLACKWELL

WALTERBORO, SC
NPI1851976419
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: SC  51686)
Enumeration Date2021-03-16
Last Update Date2021-03-16
Business Address
DIERA BLACKWELL LPN
377 CRYSTAL LN
WALTERBORO, SC 29488-8972
Phone number: 843-599-3737
Mailing Address
DIERA BLACKWELL LPN
377 CRYSTAL LN
WALTERBORO, SC 29488-8972
Phone number: 843-599-3737
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