Individual
MISS JACQUELINE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPY
Contact information
Practice address
129 HOLDER RD, BATESBURG, SC 29006-9425
(803) 609-5095
Mailing address
129 HOLDER RD, BATESBURG, SC 29006-9425
(803) 609-5095
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5600
SC
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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