NIKITA MACK

COLUMBIA, SC
NPI1033566385
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174H00000X Health Educator
(Licence: SC  2016-51567-50461)
Enumeration Date2016-05-17
Last Update Date2016-05-17
Business Address
NIKITA MACK
55 CROOKED CREEK PL
COLUMBIA, SC 29229-7196
Phone number: 803-250-7396
Mailing Address
NIKITA MACK
55 CROOKED CREEK PL
COLUMBIA, SC 29229-7196
Phone number: 803-250-7396