| NPI | 1407163595 |
|---|---|
| Doing Business As | ADVANCED VACCINE SERVICE |
| Entity Type | Organization |
| Authorized Contact | RICKY LADD Owner 803-736-0442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: SC 20616) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-09-10 |