Individual
SHAKERA CANTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
218 SPRING ST APT 115, LAURENS, SC 29360-1868
(864) 399-4415
Mailing address
218 SPRING ST APT 115, LAURENS, SC 29360-1868
(864) 399-4415
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
49592
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62-2180901
GOVERMENT
SC
Enumeration date
05/06/2024
Last updated
05/06/2024
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