Individual
MRS. LEILANI GAIL SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1361 S SUMTER BLVD, NORTH PORT, FL 34287-2339
(941) 423-2667
Mailing address
7819 JAYMAN RD, NORTH PORT, FL 34291-5778
(941) 276-5664
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
47323
FL
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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