Individual
JE'MONICA MARIE SHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 MCGEE RD, ANDERSON, SC 29625-2104
(864) 260-5569
Mailing address
204 WILDWOOD DR, HONEA PATH, SC 29654-1300
(864) 634-6228
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P46108
SC
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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