Individual
BRIONA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
5122 PRESERVE BLVD, LADSON, SC 29456-8530
(832) 259-5042
Mailing address
5122 PRESERVE BLVD, LADSON, SC 29456-8530
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11302
SC
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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