Individual
BONNIE LEE STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10934 N 56TH ST, TEMPLE TERRACE, FL 33617-3004
(813) 988-7256
Mailing address
6008 MURRAY HILL DR, TAMPA, FL 33615-3441
(813) 843-6018
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60383
FL
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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