Individual
KEAUNA A TINNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 PIEDMONT BLVD # 100, ROCK HILL, SC 29732-1836
(803) 448-5080
Mailing address
1870 GINGERCAKE CIR APT 201, ROCK HILL, SC 29732-7459
(803) 448-5080
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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