Organization
HEALING HANDS OF SUWANNEE COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLI JANE LATREILLE MA 52983 (LICENSED MASSAGE THERAPIST)
(386) 362-7727
Entity
Organization
Contact information
Practice address
405 11TH ST SW, SUITE A 101-A, LIVE OAK, FL 32064-3161
(386) 362-7727
Mailing address
405 11TH ST SW, SUITE A 101-A, LIVE OAK, FL 32064-3161
(386) 362-7727
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MA 52983
FL
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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