Individual
ELIZABETH DOYLE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1990 N PROSPECT AVE, LECANTO, FL 34461-9792
(352) 527-6888
Mailing address
1990 N PROSPECT AVE, LECANTO, FL 34461
(352) 527-6888
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA23303
FL
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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