Individual
SHABRAE' KEONIA GUINYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 SIVA AVE, ORANGEBURG, SC 29118-2082
(803) 961-0045
Mailing address
105 SIVA AVE, ORANGEBURG, SC 29118-2082
(803) 961-0045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
249675
SC
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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