Deidra Shaquana Addison
NPI #1215489810 in Ladson, South Carolina
Provider Information
- NPI Number
- 1215489810
- Entity Type
- Individual
- Name
- Deidra Shaquana Addison
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health
- Enumeration Date
- Oct 29, 2016
- Last Updated
- Oct 29, 2016
Practice Location
- Address
- 409 SPARKLEBERRY LN
- City
- Ladson
- State
- South Carolina
- ZIP Code
- 29456-3859
- Phone
- (803) 535-9268
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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