Individual
TAWNYA ROENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 BASKET GRASS LN, SUMMERVILLE, SC 29486-2407
(540) 455-7104
Mailing address
221 BASKET GRASS LN, SUMMERVILLE, SC 29486-2407
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11350
SC
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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