Provider First Line Business Practice Location Address:
3906 MARSTELLER STREET
Provider Second Line Business Practice Location Address:
ATTN: THE 'M' WORD MASSAGE CLINIC LLC
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-200-2103
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/25/2020