Individual
JULIA M STAPLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
542 S BONITA AVE, PANAMA CITY, FL 32401-3979
(850) 763-7371
Mailing address
542 S BONITA AVE, PANAMA CITY, FL 32401-3979
(850) 763-7371
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA21938
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C7423
BLUE CROSS PROVIDER
FL
Enumeration date
11/17/2006
Last updated
07/08/2007
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