Individual
ANESHIA D ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1726 CODY ST, COLUMBIA, SC 29203-6314
(803) 210-6941
Mailing address
1726 CODY ST, COLUMBIA, SC 29203-6314
(803) 210-6941
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
RC68795
SC
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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