Individual
VALECIA ANN BALDWIN-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCMT/RN
Contact information
Practice address
455 RAST STREET, SUMTER, SC 29150-2579
(803) 774-4772
Mailing address
455 RAST STREET, SUMTER, SC 29150-2579
(803) 774-4772
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
4716
SC
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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