Individual
CAROLYN MUDGETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
2180 A1A S, SUITE 203, ST AUGUSTINE, FL 32080-6591
(904) 461-5699
Mailing address
2180 A1A S, SUITE 203, ST AUGUSTINE, FL 32080-6591
(904) 461-5699
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA23802 MM11941
FL
Other
Enumeration date
01/20/2007
Last updated
07/08/2007
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