Individual
JUTOSHAU LASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 JOHN ST STE 6B, GREER, SC 29651-1463
(864) 553-4801
Mailing address
10 BLACK OAK CT, SIMPSONVILLE, SC 29680-6224
(864) 553-4801
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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