KRISTEN HENDERSON LASETA

CHARLESTON, SC
NPI1326568197
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC  949)
Enumeration Date2017-06-22
Last Update Date2017-06-22
Business Address
KRISTEN HENDERSON LASETA ATC
4060 WILDCAT BLVD
CHARLESTON, SC 29414-5851
Phone number: 843-573-1201
Mailing Address
KRISTEN HENDERSON LASETA ATC
507 STINSON DR APT A6
CHARLESTON, SC 29407-6239
Phone number:
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