Individual
YANA MINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 HIGHWAY 17 BYP S, MYRTLE BEACH, SC 29588-5614
(843) 655-0456
Mailing address
4502 HIGHWAY 17 BYP S, MYRTLE BEACH, SC 29588-5614
(843) 655-0456
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
41028
SC
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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