Individual
LISA DUPONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 SAINT ANDREWS RD STE B, COLUMBIA, SC 29210-3101
(803) 731-4400
Mailing address
1030 SAINT ANDREWS RD STE B, COLUMBIA, SC 29210-3101
(803) 731-4400
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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