LATRICE JANIVA SHELL

AIKEN, SC
NPI1528783065
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: SC  F10220365)
Enumeration Date2022-10-06
Last Update Date2022-10-06
Business Address
LATRICE JANIVA SHELL
550 EASTGATE DR
AIKEN, SC 29803-7688
Phone number: 803-643-3694
Mailing Address
LATRICE JANIVA SHELL
404 FIOLI CIR
GRANITEVILLE, SC 29829-3916
Phone number: 803-243-1088