KAWONNA MAPLE

Contractor

Active Individual
NPI: 1114522547

Practice Address

109 JUSTINE CT
Cordova, SC 29039

Phone: (803) 614-5088

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1114522547 is the National Provider Identifier for KAWONNA MAPLE, a Contractor provider located in Cordova, SC. This NPI was enumerated on December 3, 2020.
KAWONNA MAPLE practices at 109 JUSTINE CT, Cordova, SC 29039.

Quick Facts

NPI
1114522547
Type
Individual
Enumerated
Dec 3, 2020
Last Updated
Dec 3, 2020

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