Individual
MRS. BRONWEN LUNDGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT,MMP
Contact information
Practice address
2975 BOBCAT VILLAGE CENTER RD UNIT 300, NORTH PORT, FL 34288-4604
(941) 236-6196
Mailing address
3737 EL JOBEAN RD # L4, PORT CHARLOTTE, FL 33953-5611
(941) 236-6196
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA89184
FL
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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