Individual
MISS LYDIA SHAWN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A., L.M.T.
Contact information
Practice address
411 N. DONNELLY STREET SUITE 311, BENEFICIAL MASSAGE, MT. DORA, FL 32757-5596
(352) 383-8007
Mailing address
411 N. DONNELLY STREET SUITE 311, BENEFICIAL MASSAGE, MT. DORA, FL 32757
(352) 383-8007
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0008807
FL
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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