Individual
MRS. LINDA LEE GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4349 FORT SHAW DR, NEW PORT RICHEY, FL 34655-7316
(727) 278-5690
(727) 372-0970
Mailing address
4349 FORT SHAW DR, NEW PORT RICHEY, FL 34655-7316
(727) 278-5690
(727) 372-0970
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 10723
FL
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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