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Individual

CHANNEL EVI FRAZIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 ROSE HAVEN LN, BLYTHEWOOD, SC 29016-8233
(803) 479-3465
Mailing address
1 ROSE HAVEN LN, BLYTHEWOOD, SC 29016-8233
(803) 479-3465

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13539
SC

Other

Enumeration date
01/29/2026
Last updated
01/29/2026
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