Individual
MISS KEISHA LAMEKA HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
611 N 5TH AVE, DILLON, SC 29536-2415
(843) 774-5390
Mailing address
611 N 5TH AVE, DILLON, SC 29536-2415
(843) 774-5390
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P42932
SC
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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