Individual
TEIONA BRODUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
15 BEN MACK DR, SAINT HELENA ISLAND, SC 29920-6512
(843) 941-9131
Mailing address
PO BOX 2575, BEAUFORT, SC 29901-2575
(843) 941-9131
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
15341
SC
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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