DEIDRA SHAQUANA ADDISON

LADSON, SC
NPI1215489810
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
Enumeration Date2016-10-29
Last Update Date2016-10-29
Business Address
DEIDRA SHAQUANA ADDISON
409 SPARKLEBERRY LN
LADSON, SC 29456-3859
Phone number: 803-535-9268
Mailing Address
DEIDRA SHAQUANA ADDISON
409 SPARKLEBERRY LN
LADSON, SC 29456-3859
Phone number: 803-535-9268
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