ALA BIANCA NAOMI LUCKY

COLUMBIA, SC
NPI1902391469
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SC  21969)
Enumeration Date2018-06-27
Last Update Date2021-08-25
Business Address
Ms. ALA BIANCA NAOMI LUCKY NP
2001 LAUREL ST
COLUMBIA, SC 29204-1018
Phone number: 803-254-3278
Mailing Address
Ms. ALA BIANCA NAOMI LUCKY NP
PO BOX 935722
ATLANTA, GA 31193-5722
Phone number: 843-792-6200
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