Individual
MS. SHELLY ANN SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2715 COLONIAL DR, 100-A, COLUMBIA, SC 29203-6818
(803) 898-4818
(803) 898-4855
Mailing address
546 AUGUSTA ST APT 4, WEST COLUMBIA, SC 29169-7585
(803) 351-4655
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
P12241
SC
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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