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Corona Lavetta Calvary
Driver in Summerville, South Carolina
NPI 1093448508

Corona Lavetta Calvary is a Driver based in Summerville, SC. Corona Lavetta Calvary practices in Summerville, SC. The NPI Number for Corona Lavetta Calvary is 1093448508 and holds a License No. 008818045 (South Carolina).

The current practice location address for Corona Lavetta Calvary is 412 Old Trolley Rd Ste B, Summerville, SC and can be reached out via phone at 843-345-8178.

Location: 412 Old Trolley Rd Ste B, Summerville, SC, 29485-5666
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093448508
Provider Name
Corona Lavetta Calvary
Credential
Provider Entity Type
Individual
Gender
Female
Address
412 Old Trolley Rd Ste B, Summerville, SC, 29485-5666
Phone Number
843-345-8178
Fax Number
Provider Enumeration Date
07/03/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
88-2773025 05 SC
institution
Provider Business Practice Location Address Details
Address
412 Old Trolley Rd Ste B
City
Summerville
State
South Carolina
Zip
29485-5666
Phone Number
843-345-8178
Fax Number
person
Provider Business Mailing Address Details
Address
412 Old Trolley Rd Ste B
City
Summerville
State
South Carolina
Zip
29485-5666
Phone Number
843-345-8178
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
008818045 (South Carolina)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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