| Moncina Etheredge, LMP | |
|
2712 Middleburg Dr Ste 207b, Columbia, SC 29204-2445 | |
| (803) 261-9479 | |
| Not Available |
| Full Name | Moncina Etheredge |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 2712 Middleburg Dr Ste 207b, Columbia, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467905190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 6589 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Moncina Etheredge, LMP 2712 Middleburg Dr Ste 207b, Columbia, SC 29204-2445 Ph: (803) 261-9479 | Moncina Etheredge, LMP 2712 Middleburg Dr Ste 207b, Columbia, SC 29204-2445 Ph: (803) 261-9479 |
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