Individual
CARMEN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3741 DIVING DOVE LN, BARTOW, FL 33830-3031
(863) 709-7110
Mailing address
3741 DIVING DOVE LN, BARTOW, FL 33830-3031
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA105431
GU
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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