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Individual

TAQULIA VANDERHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
518 EVERS DR, DILLON, SC 29536-6023
(843) 773-0680
Mailing address
518 EVERS DR, DILLON, SC 29536-6023

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
174200000X
Meals Provider
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
Primary
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
372600000X
Adult Companion
374J00000X
Doula

Other

Enumeration date
02/24/2025
Last updated
02/24/2025
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