Individual
MS. LESLEY DENISE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1526 GARDEN ST, TITUSVILLE, FL 32796-3268
(321) 267-8141
Mailing address
5060 CARTER ST, PORT ST JOHN, FL 32927-9206
(321) 631-7416
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA21518
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C7270
BLUE CROSS BLUE SHIELD PR
FL
Enumeration date
01/30/2007
Last updated
07/08/2007
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