Individual
JANE EAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
748 RIVER RD, COLUMBIA, SC 29212-8808
(803) 622-2884
Mailing address
748 RIVER RD, COLUMBIA, SC 29212-8808
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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