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Individual

ALEXANDRA NICOLE BASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2430 JENKS AVE, PANAMA CITY, FL 32405-4304
(850) 896-6539
Mailing address
2430 JENKS AVE, PANAMA CITY, FL 32405-4304
(850) 896-6539

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA105380
FL

Other

Enumeration date
07/01/2024
Last updated
09/05/2025
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