Individual
AARON DWAIN MANKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25355 W NEWBERRY RD, NEWBERRY, FL 32669-4253
(352) 672-5206
Mailing address
PO BOX 1452, NEWBERRY, FL 32669
(352) 672-5206
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 62915
FL
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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