Individual
KENT FOUNDOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1434 COVENANT PL, ROCK HILL, SC 29732-9576
(803) 415-7264
Mailing address
1434 COVENANT PL, ROCK HILL, SC 29732-9576
(803) 415-7264
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9453
SC
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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