Individual
TYWANDA D ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1718 GERMANTOWN PL, DILLON, SC 29536-8095
(843) 632-1439
Mailing address
2003 SHADOWMOSS DR, DILLON, SC 29536-8300
(843) 632-1439
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
1HCP2447
SC
374U00000X
Home Health Aide
Primary
IHCP-2417
SC
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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