Individual
SHANNA BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7856 NUMMIE CT, NORTH CHARLESTON, SC 29418-3116
(843) 377-7473
Mailing address
7856 NUMMIE CT, NORTH CHARLESTON, SC 29418-3116
(843) 377-7473
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/12/2020
Last updated
04/22/2020
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