Individual
SHANAY BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 W HIGHWAY 378, GRESHAM, SC 29546-4080
(843) 496-5223
Mailing address
1802 W HIGHWAY 378, GRESHAM, SC 29546-4080
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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