Individual
JADA ALICIA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 RAYLAND CIR, WALTERBORO, SC 29488-9400
(843) 701-2633
Mailing address
200 WILLIES RD, YEMASSEE, SC 29945-2846
(334) 333-3504
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
SC
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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