Individual
MARIA MCQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3102 40TH ST W, LEHIGH ACRES, FL 33971-0813
(415) 465-3585
Mailing address
3102 40TH ST W, LEHIGH ACRES, FL 33971-0813
(415) 465-3585
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61465
FL
Other
Enumeration date
05/16/2011
Last updated
11/05/2012
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