Individual
TEMICHA ROSHELL GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
464 MCLAIN ST, PATRICK, SC 29584-5390
(843) 498-7134
(843) 498-7134
Mailing address
464 MCLAIN ST, PATRICK, SC 29584-5390
(843) 910-0451
(843) 498-7134
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
89599
SC
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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