Individual
MS. JUANETT MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
595 BROCKTOWN RD, COTTAGEVILLE, SC 29435-3158
(803) 747-9265
Mailing address
595 BROCKTOWN RD, COTTAGEVILLE, SC 29435-3158
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/20/2018
Last updated
04/17/2019
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