Individual
MS. LAVONYA RENEE GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
128 HARVARD LN, SANTEE, SC 29142-9218
(803) 553-6068
Mailing address
128 HARVARD LN, SANTEE, SC 29142-9218
(803) 553-6068
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
560553
SC
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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