Individual
MRS. DONIA YVETTE MANIGAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1672 CULPEPPER CIR, CHARLESTON, SC 29407-4226
(843) 437-0270
Mailing address
1672 CULPEPPER CIR, CHARLESTON, SC 29407-4226
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
103032E
SC
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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