Individual
MS. MASHANDA BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1216 BAFFIN BAY RD, COLUMBIA, SC 29212-3390
(803) 556-6205
Mailing address
1216 BAFFIN BAY RD, COLUMBIA, SC 29212
(803) 556-6205
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
164188E
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164188E
THE STATE OF SOUTH CAROLINA NURSE AIDE REGISTRY
SC
Enumeration date
03/11/2014
Last updated
03/11/2014
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