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Individual
MRS. VERA LYNN GARDNER
Active
Individual
MRS. VERA LYNN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
MA31752
FL
173C00000X
Reflexologist
MA31752
FL
225700000X
Massage Therapist
Primary
MA31752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290687-00
NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK
FL
01
—
MA31752
STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
02/24/2009
Last updated
12/21/2013
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