Individual
TANESHA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 E LIBERTY ST STE 2A, SUMTER, SC 29150-5237
(803) 680-6521
Mailing address
18 E LIBERTY ST, SUMTER, SC 29150-5237
(803) 848-5909
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
IHCP-1627
SC
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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