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Individual

ALISA DECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT

Contact information

Practice address
2360 DOVER, WESTON, FL 33326-2324
(520) 204-3535
Mailing address
2360 DOVER, WESTON, FL 33326-2324
(520) 204-3535

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA100503
FL
225700000X
Massage Therapist

Other

Enumeration date
07/28/2022
Last updated
07/28/2022
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