Individual
MISS KALYN DANIEL BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
5206 BROOKSTONE WAY, SUMMERVILLE, SC 29486-8093
(843) 668-0310
Mailing address
5206 BROOKSTONE WAY, SUMMERVILLE, SC 29486-8093
(843) 668-0310
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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