Individual
MRS. ELISABETH VICTORIA RALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1531 AUGUSTA RD, WEST COLUMBIA, SC 29169-6128
(803) 622-6569
Mailing address
601 RIVERHILL CIR APT B3, COLUMBIA, SC 29210-8131
(803) 622-6569
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4849
SC
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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