Individual
MRS. L'TOIA BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
1923 PICKENS ST, COLUMBIA, SC 29201-2631
(803) 200-2397
Mailing address
1923 PICKENS ST, COLUMBIA, SC 29201-2631
(803) 200-2397
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9427
SC
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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