JACQUANNA JANICE LEYSATH

WEST COLUMBIA, SC
NPI1104578061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2022-01-21
Last Update Date2022-01-21
Business Address
JACQUANNA JANICE LEYSATH
1607 F AVE
WEST COLUMBIA, SC 29169-6174
Phone number: 803-552-1102
Mailing Address
JACQUANNA JANICE LEYSATH
1607 F AVE
WEST COLUMBIA, SC 29169-6174
Phone number: 803-552-1102
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