Individual
LESLEY RENEE CANNON-HUTCHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
505 MALLARD LAKE CIR, SURFSIDE BEACH, SC 29575-4769
(843) 215-4985
Mailing address
4736 HIGHWAY 17 BYP S, MYRTLE BEACH, SC 29588-5616
(843) 444-9355
(843) 294-0019
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2898
SC
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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