Individual
MRS. AMANDA JEMIMA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
3600 NW 43RD ST, #3, GAINESVILLE, FL 32606-8137
(352) 642-3402
Mailing address
PO BOX 736, NEWBERRY, FL 32669-0736
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 58584
FL
Other
Enumeration date
04/06/2011
Last updated
05/12/2011
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