Individual
MARY JANE ELIZABETH PULLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1220 OAKCREST DR, CHARLESTON, SC 29412-9310
(843) 814-8642
(843) 762-3663
Mailing address
1220 OAKCREST DR, CHARLESTON, SC 29412-9310
(843) 814-8642
(843) 762-3663
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3748
SC
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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