Individual
KENDRA LASHA HARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11015 ELLENTON ST, BARNWELL, SC 29812-7307
(803) 541-1061
(803) 541-1066
Mailing address
11015 ELLENTON ST, BARNWELL, SC 29812-7307
(803) 541-1061
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
45302
SC
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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