Individual
SOLARA DE LA FLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2470 MALL DR, NORTH CHARLESTON, SC 29406-6514
(800) 805-6989
Mailing address
3000 CYPRESS LAKE RD APT 1303, NORTH CHARLESTON, SC 29420-8981
(803) 757-5106
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
55862
SC
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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