Individual
SONYA BRUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2012 HIGHWAY 160 W STE 16, FORT MILL, SC 29708-8401
(803) 548-8670
Mailing address
2012 HIGHWAY 160 W STE 16, FORT MILL, SC 29708-8401
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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