Individual
MYIESHA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1422 OLANTA HWY LOT A, EFFINGHAM, SC 29541-6574
(843) 624-9602
Mailing address
1422 OLANTA HWY LOT A, EFFINGHAM, SC 29541-6574
(843) 624-9602
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12296
SC
Other
Enumeration date
05/15/2021
Last updated
05/15/2021
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