Individual
MRS. JUANITA ELIZABETH SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
1911 HARCOURT DRIVE, LEESBURG, FL 34748
(352) 409-3140
Mailing address
1911 HARCOURT DRIVE, LEESBURG, FL 34748
(352) 409-3140
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
MA79055
FL
225700000X
Massage Therapist
Primary
MA79055
FL
Other
Enumeration date
10/26/2015
Last updated
04/02/2021
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