Individual
CHYENNE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2256 HIGHWAY 78, DORCHESTER, SC 29437-3905
(843) 513-0234
Mailing address
2256 HIGHWAY 78, DORCHESTER, SC 29437-3905
(843) 513-0234
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
03/05/2025
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