Sculpted Bodies by Destani Llc.

NPI #1154074730 in Hartsville, South Carolina

Provider Information

NPI Number: 1154074730
Entity Type: Organization
Organization Name: Sculpted Bodies by Destani Llc.
Primary Specialty: Point of Service
Enumeration Date: Feb 2, 2022
Last Updated: Feb 2, 2022

Practice Location

Address: 2205 OUSLEYDALE RD
City: Hartsville
State: South Carolina
ZIP Code: 29550-8733
Phone: (843) 260-9062

Authorized Official

Name: DESTYNIE JORDAN
Title: OWNER
Phone: (843) 260-9062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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