Individual
ANGELA DENISE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
319 W TOWN PL, ST AUGUSTINE, FL 32092-3101
(904) 680-7238
Mailing address
319 W TOWN PL, ST AUGUSTINE, FL 32092-3101
(904) 680-7238
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA85712
FL
225700000X
Massage Therapist
—
FL
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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