Individual
MS. ANGELA MICHELLE GASKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
370 PINEY HEIGHTS RD, WARRENVILLE, SC 29851-2707
(803) 645-4150
(803) 593-3381
Mailing address
370 PINEY HEIGHTS RD, WARRENVILLE, SC 29851-2707
(803) 645-4150
(803) 593-3381
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
P27542
SC
302F00000X
Exclusive Provider Organization
P27542
SC
Other
Enumeration date
09/16/2009
Last updated
06/21/2012
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