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Individual

RAVEN RHODES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
600 W D AVE, EASLEY, SC 29640-1935
(864) 516-0093
Mailing address
600 W D AVE, EASLEY, SC 29640-1935
(864) 516-0093

Taxonomy

Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
374U00000X
Home Health Aide
Primary

Other

Enumeration date
09/10/2021
Last updated
09/10/2021
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