RANDI BLISS KOTAL-LEE

SENECA, SC
NPI1932441565
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: SC  18472)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: GA  RN218154)
Enumeration Date2013-03-21
Last Update Date2021-06-30
Business Address
RANDI BLISS KOTAL-LEE NP
390 KEOWEE SCHOOL RD
SENECA, SC 29672-6743
Phone number: 864-885-7129
Mailing Address
RANDI BLISS KOTAL-LEE NP
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603