Individual
MR. CALVIN D JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMT
Contact information
Practice address
738 UNIVERSITY VILLAGE DR, BLYTHEWOOD, SC 29016-7611
(803) 754-8432
(803) 754-8411
Mailing address
738 UNIVERSITY VILLAGE DR, BLYTHEWOOD, SC 29016-7611
(803) 754-8432
(803) 754-8411
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9912
SC
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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