BONITA A SPADE

NORTH CHARLESTON, SC
NPI1861569329
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: SC  R64665)
Enumeration Date2006-11-29
Last Update Date2007-07-09
Business Address
-- BONITA A SPADE FNP,CDE
2845 TRICOM ST
NORTH CHARLESTON, SC 29406-9172
Phone number: 843-797-1770
Mailing Address
-- BONITA A SPADE FNP,CDE
2845 TRICOM ST
NORTH CHARLESTON, SC 29406-9172
Phone number: 843-797-1770
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