Individual
LANESE CHAVONNE NIGHTINGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3924 FOREST DR STE 9, COLUMBIA, SC 29204-4148
(844) 443-9500
Mailing address
3924 FOREST DR STE 9, COLUMBIA, SC 29204-4148
(844) 443-9500
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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