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Micaela Cisson
NPI 1902419856 · on the registry since 2020
Practice
- Address
- 1180 Dutch Fork Rd
Irmo, SC 29063 - Phone
- (803) 781-7877
- Organisation at this address
- Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Irmo Primary Eyecare LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina