Individual
LAKEISHA NAMONE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
601 OLD STATE RD APT 100B, GOOSE CREEK, SC 29445-3227
(843) 751-5128
Mailing address
601 OLD STATE RD APT 100B, GOOSE CREEK, SC 29445-3227
(843) 751-5128
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
118176
SC
Other
Enumeration date
04/25/2020
Last updated
04/25/2020
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