Individual
KATINA MINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 CHANDLER CIR, FLORENCE, SC 29505-6464
(843) 319-3708
Mailing address
1314 CHANDLER CIR, FLORENCE, SC 29505-6464
(843) 319-3708
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
G122094
SC
171WH0202X
Home Modifications Contractor
Primary
G122094
SC
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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