Individual
FELICIA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1042 SW HALEYBERRY AVE, PORT ST LUCIE, FL 34953-6750
(772) 626-9429
Mailing address
1042 SW HALEYBERRY AVE, PORT ST LUCIE, FL 34953
(772) 626-9429
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
51246
FL
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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