Pereira, Fantasia Kimmiah

Pereira, Fantasia Kimmiah is an individual health care provider with primary practice located at 250 Dewey Ave , Spartanburg SC 29303-3009. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Pereira, Fantasia Kimmiah can be contacted via phone (864) 585-0366.

Contact Information

Primary practice address
250 Dewey Ave Spartanburg SC 29303-3009
Phone: (864) 585-0366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 52767 South Carolina

Profile Details

NPI number 1164169496
LBN Legal business name Pereira, Fantasia Kimmiah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2022
Last updated May 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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