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Individual

KATRINA TANNACHION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
725 SE BAYA DR STE 101, LAKE CITY, FL 32025-6092
(386) 292-6966
(352) 218-8312
Mailing address
725 SE BAYA DR STE 101, LAKE CITY, FL 32025-6092
(501) 563-4607

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA78411
FL

Other

Enumeration date
12/05/2020
Last updated
02/15/2021
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