Individual
TEAJUANI LATASHA MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 CORPUS CHRISTIE PL STE 200, HILTON HEAD, SC 29928-1712
(912) 275-3493
Mailing address
2 CORPUS CHRISTIE PL STE 200, HILTON HEAD, SC 29928-1712
(912) 275-3493
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
IHCP2331
SC
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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