Individual
SANDRA CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
609 GREEN ST, LAURENS, SC 29360-3464
(864) 984-3054
Mailing address
609 GREEN ST, LAURENS, SC 29360
(864) 984-3054
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P34860
SC
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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