Individual
CHRISHONDA SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 LOGAN ST, SUMTER, SC 29150-6730
(803) 406-6651
Mailing address
28 LOGAN ST, SUMTER, SC 29150-6730
(803) 406-6651
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
132530
SC
Other
Enumeration date
07/23/2021
Last updated
07/25/2021
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