BRIANT ALDONTA BATES

COLUMBIA, SC
NPI1518683937
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy202K00000X 
(Licence: SC  91761634575347)
Enumeration Date2022-10-17
Last Update Date2022-10-22
Business Address
BRIANT ALDONTA BATES
120 KAMINER WAY PKWY STE F
COLUMBIA, SC 29210-3986
Phone number: 803-401-5673
Mailing Address
BRIANT ALDONTA BATES
120 KAMINER WAY PKWY STE F
COLUMBIA, SC 29210-3986
Phone number: