Individual
HARRY WARANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
2225 A1A S STE B1, ST AUGUSTINE, FL 32080-7906
(904) 461-9901
Mailing address
2225 A1A S STE B1, ST AUGUSTINE, FL 32080-7906
(904) 461-9901
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA23744
FL
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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