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Individual

SHONTRELLE EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10320 FARROW RD STE B, BLYTHEWOOD, SC 29016-9109
(803) 722-9866
Mailing address
643 N ROYAL TOWER DR, IRMO, SC 29063-2603
(803) 722-9866

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
11/27/2023
Last updated
11/27/2023
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