Individual
MELISSA GAYLE HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
607 E UNIVERSITY AVE, GAINESVILLE, FL 32601-5449
(352) 231-1893
Mailing address
6522 NW 32ND ST, GAINESVILLE, FL 32653-1340
(352) 231-1893
(904) 239-3272
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA68218
FL
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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