Individual
JESSICA CLINKSCALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 S PIKE W, SUMTER, SC 29150-2665
(803) 565-9813
Mailing address
418 GRAND NATIONAL LN, ELGIN, SC 29045-7113
(803) 565-9813
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
IHCP-2176
SC
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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