Individual
MRS. LATOYA WANZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 MANIGAULT CT, FLORENCE, SC 29501-8827
(843) 616-4310
(843) 799-2350
Mailing address
19 MANIGAULT CT, FLORENCE, SC 29501-8827
(843) 616-4310
(843) 799-2350
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/18/2020
Last updated
10/18/2020
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