Most Relevant Information
Provider Data
| NPI Number: | 1003560095 |
| Provider Name: | TONYA SIMONE SEABROOK-SUTTON |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: | 119416 |
Most Important Dates
| Enumeration Date: | 02/08/2022 |
| Last Updated: | 02/08/2022 |
Provider Practice Location
285 CLATTY FARM RD
RUFFIN
SC
294755186
Practice Location Phone/Fax
| Phone: | 8137637985 |
| Fax: |
Provider Mailing Location
285 CLATTY FARM RD
RUFFIN
SC
294755186
Provider Mailing Phone/Fax
| Phone: | 8137637985 |
| Fax: |