Individual
LAWANA M JETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 SYCAMORE DR STE B8B, GREENVILLE, SC 29607-2965
(864) 535-1825
(864) 729-8224
Mailing address
8 SYCAMORE DR STE B8B, GREENVILLE, SC 29607-2965
(864) 535-1825
(864) 729-8224
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
97501
SC
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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