LISA MARIE BONAVENTURA

MOUNT PLEASANT, SC
NPI1578062014
Former NameLISA MARIE MILLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: SC  5139)
Enumeration Date2018-02-11
Last Update Date2018-02-11
Business Address
Miss LISA MARIE BONAVENTURA LMT
1501 N HIGHWAY 17 UNIT J
MOUNT PLEASANT, SC 29464-3342
Phone number: 843-412-7033
Mailing Address
Miss LISA MARIE BONAVENTURA LMT
367 PLUFF MUD ALY
MOUNT PLEASANT, SC 29464-8149
Phone number: 843-412-7033