Individual
MELISSA LEININGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
120 GATEWAY CIR, SAINT JOHNS, FL 32259-4082
(904) 252-4235
Mailing address
328 WELBECK PL, SAINT JOHNS, FL 32259-8209
(904) 252-4235
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA68652
FL
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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