Individual
MRS. LESLIE ANN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
325 POINSETTA AVE, PALATKA, FL 32177
(386) 329-8900
Mailing address
325 POINSETTA AVE, BENEATH THE PALMS SALON/DAY SPA, PALATKA, FL 32177
(386) 329-8900
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA69168
FL
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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