Individual
MRS. KATHERINE MAULDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
413 ELM ST, WELAKA, FL 32193
(386) 559-4068
Mailing address
PO BOX 151, CRESCENT CITY, FL 32112-0151
(386) 559-4068
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA32660
FL
Other
Enumeration date
08/27/2007
Last updated
06/25/2008
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