Organization
VIRTUOUS WOMAN BODY SCULPTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINNA BANAE STAMPS (OWNER)
(803) 493-8874
Entity
Organization
Contact information
Practice address
532 ROUNDTREE CIR, CHESTER, SC 29706-5185
(803) 581-1368
Mailing address
532 ROUNDTREE CIR, CHESTER, SC 29706-5185
(803) 581-1368
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
007722032
SC
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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