Individual
MS. LUCY JAYNE MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
1380 PAINTER RD, WAUCHULA, FL 33873-4342
(863) 245-6837
Mailing address
1380 PAINTER RD, WAUCHULA, FL 33873
(863) 245-6837
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA48985
FL
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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