Individual
SHELIA LORRAINE GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 EASTBOURNE CT, COLUMBIA, SC 29223-6711
(803) 587-1008
Mailing address
19 EASTBOURNE CT, COLUMBIA, SC 29223-6711
(803) 587-1008
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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