Individual
SHERIKO JERNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 W MAIN ST, LAKE CITY, SC 29560-2425
(843) 610-8321
Mailing address
348 OLD MCCUTCHEON RD, COWARD, SC 29530-5381
(843) 610-8321
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8438
SC
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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