Individual
LEON EARL SIEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6458 LANGSTON AVE, NEW PORT RICHEY, FL 34653-1027
(172) 732-0580
Mailing address
6458 LANGSTON AVE, NEW PORT RICHEY, FL 34653-1027
(172) 732-0580
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA76329
FL
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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