Individual
SHAKINA BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 SPANISH WELLS RD, SUMMERVILLE, SC 29486-7067
(305) 490-8290
Mailing address
431 SAINT JAMES AVE # 143, GOOSE CREEK, SC 29445-2768
(305) 490-8290
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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