Individual
ANGELA SOULSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN,RHIT
Contact information
Practice address
101 AUSTIN AVE, EASLEY, SC 29640-2501
(864) 905-6210
Mailing address
101 AUSTIN AVE, EASLEY, SC 29640-2501
(864) 905-6210
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P34121
SC
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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