Individual
TANYA PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W MAIN ST, DILLON, SC 29536-3349
(843) 495-4138
Mailing address
220 W MAIN ST, DILLON, SC 29536-3349
(843) 495-4138
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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