Individual
MISS KRYSTALL ALLENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA68763
Contact information
Practice address
2706 SW 3RD AVE, CAPE CORAL, FL 33914-4426
(360) 250-1907
Mailing address
2706 SW 3RD AVE, CAPE CORAL, FL 33914-4426
(360) 250-1907
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA68763
FL
225700000X
Massage Therapist
Primary
MA68763
WA
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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