TATANASIKA LAVONNE SHANNON

ROCK HILL, SC
NPI1902326010
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251B00000X Case Management
Additional Taxonomies172V00000X Community Health Worker
385H00000X Respite Care
Enumeration Date2017-06-21
Last Update Date2017-06-21
Business Address
TATANASIKA LAVONNE SHANNON
411 SOFT WINDS VILLAGE DR
ROCK HILL, SC 29730-7642
Phone number: 704-264-6045
Mailing Address
TATANASIKA LAVONNE SHANNON
411 SOFT WINDS VILLAGE DR
ROCK HILL, SC 29730-7642
Phone number: