Individual
KEYAIRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136 INGLEOAK LN, GREENVILLE, SC 29615-3148
(828) 656-3727
Mailing address
136 INGLEOAK LN, GREENVILLE, SC 29615-3148
(828) 656-3727
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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