Individual
YOLANDA BLEASDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 BOYCE STREET, MANNING, SC 29102
(803) 435-4355
Mailing address
1938 BLOOMVILLE RD, MANNING, SC 29102-5905
(803) 473-8072
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
33951
SC
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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