Individual
MRS. QUANITA MONTGOMERY CLYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1356 FLAT CREEK RD, LANCASTER, SC 29720-7689
(803) 246-8419
Mailing address
1887 DUCKWOOD RD, LANCASTER, SC 29720-7402
(803) 246-8419
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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