Individual
MS. ANDRENA MICSHELL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 KINDERWAY AVE, COLUMBIA, SC 29203-5895
(803) 730-1368
(803) 360-5902
Mailing address
1307 KINDERWAY AVE, COLUMBIA, SC 29203-5895
(803) 730-1368
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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