Individual
MS. LEONORA T STULLKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
30570 17TH ST, BIG PINE KEY, FL 33043
(305) 872-8915
Mailing address
PO BOX 430154, BIG PINE KEY, FL 33043-0154
(305) 872-8915
(305) 872-8915
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA9156
FL
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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