Individual
MISS KESHA LANETTE HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20 TOWNLEE LN STE D, LUGOFF, SC 29078-8989
(803) 713-5749
(803) 753-9150
Mailing address
20 TOWNLEE LN STE D, LUGOFF, SC 29078-8989
(803) 713-5749
(803) 753-9150
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
42996
SC
Other
Enumeration date
04/14/2019
Last updated
04/14/2019
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