Individual
KANNESHA COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4371 CHARLOTTE HWY STE 22, LAKE WYLIE, SC 29710-8105
(803) 589-7999
Mailing address
4371 CHARLOTTE HWY STE 22, LAKE WYLIE, SC 29710-8105
(803) 589-7999
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
07/04/2022
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