Individual
LASHERRIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 SANSBURY DR, ANDERSON, SC 29621-7137
(864) 318-3138
Mailing address
1605 SANSBURY DR, ANDERSON, SC 29621-7137
(864) 318-3138
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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