Individual
MS. LISA KATHRYN DEBRAUWERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4230 LAFAYETTE ST STE C, MASSAGE ROOM, MARIANNA, FL 32446-8231
(850) 482-2051
Mailing address
2584 GOVERNORS CT, MARIANNA, FL 32446-6399
(850) 526-3349
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA49208
FL
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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