Individual
MS. GLENDA LEE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
10622 DEVCO DR, PORT RICHEY, FL 34668-2871
(727) 233-2025
(727) 233-6294
Mailing address
1802 E ESKIMO AVE, TAMPA, FL 33604-2020
(813) 378-1184
(727) 233-6294
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 61731
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 61731
MASSAGE THERAPIST
FL
Enumeration date
02/17/2011
Last updated
05/30/2023
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