Individual
MS. SHEVONNE LATRELL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 N MAIN ST, MARION, SC 29571-3028
(843) 423-0896
(843) 423-0296
Mailing address
320 N MAIN ST, MARION, SC 29571-3028
(843) 423-0896
(843) 423-0296
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
8643
SC
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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