SHAWNTAY LATRICE FORREST

CHARLESTON, SC
NPI1831350818
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: SC  P 40923)
Enumeration Date2008-06-22
Last Update Date2008-06-22
Business Address
-- SHAWNTAY LATRICE FORREST L.P.N
109 BEE ST
CHARLESTON, SC 29401-5703
Phone number: 843-870-1315
Mailing Address
-- SHAWNTAY LATRICE FORREST L.P.N
5751 SCOTT WHITE RD
HOLLYWOOD, SC 29449-6156
Phone number: 843-870-1315
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