Individual
MRS. CHARLENE VANESSA BARBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 S BOUNDARY AVE, NEW ELLENTON, SC 29809-3210
(803) 443-8101
Mailing address
300 S BOUNDARY AVE, NEW ELLENTON, SC 29809-3210
(803) 443-8101
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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