Individual
HEATHER LYNN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2715 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 898-1555
(803) 898-2194
Mailing address
2715 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 898-1555
(803) 898-2194
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
47843
SC
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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