Individual
LATONYA SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA, RPT, CNA
Contact information
Practice address
4325 DICK POND RD STE B, MYRTLE BEACH, SC 29588-6810
(843) 353-4651
(866) 446-4652
Mailing address
4325 DICK POND RD STE B, MYRTLE BEACH, SC 29588-6810
(843) 353-4651
(866) 446-4652
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
SC
172V00000X
Community Health Worker
Primary
—
SC
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
SC
246RM2200X
Medical Laboratory Technician
—
—
246RP1900X
Phlebotomy Technician
—
—
251K00000X
Public Health or Welfare Agency
—
SC
374700000X
Technician
—
NC
376K00000X
Nurse's Aide
—
VA
Other
Enumeration date
10/16/2018
Last updated
01/18/2022
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