Individual
YVONNE FLOYD STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S BLANDING ST, LAKE CITY, SC 29560-2724
(843) 374-2393
Mailing address
125 S BLANDING ST, LAKE CITY, SC 29560-2724
(843) 374-2393
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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