Individual
DENASHA LAVON HARDWARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 PHYLLIS DR, ANDERSON, SC 29621-7041
(864) 965-8418
Mailing address
1305 PHYLLIS DR, ANDERSON, SC 29621-7041
(864) 965-8418
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
SC
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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