Individual
MISS LATOYA NICOLE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
408 ISAAC ST, COLUMBIA, SC 29203-5020
(803) 608-5231
Mailing address
408 ISAAC ST, COLUMBIA, SC 29203-5020
(803) 608-5231
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7319
SC
Other
Enumeration date
08/20/2016
Last updated
08/20/2016
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