Individual
MS. KIMBERLY JOYCE CANZATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2052 BLYTHEWOOD CROSSING LN, APT 1312, BLYTHEWOOD, SC 29016-7260
(803) 572-7621
Mailing address
2052 BLYTHEWOOD CROSSING LN, APT 1312, BLYTHEWOOD, SC 29016-7260
(803) 572-7621
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9763
SC
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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