WALTER GERRARD NIVENS

SIMPSONVILLE, SC
NPI1720798671
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: SC  6830)
Enumeration Date2022-12-01
Last Update Date2022-12-01
Business Address
WALTER GERRARD NIVENS
819 MCKINNEY RD
SIMPSONVILLE, SC 29681-4605
Phone number: 864-553-8290
Mailing Address
WALTER GERRARD NIVENS
819 MCKINNEY RD
SIMPSONVILLE, SC 29681-4605
Phone number: 864-553-8290