Individual
OLIVIA LLEWELLYN VEDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
757 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7164
(843) 377-7926
Mailing address
757 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7164
(843) 377-7926
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10615
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75729414
NONE
—
Enumeration date
02/11/2020
Last updated
02/11/2020
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