Individual
LASASHA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1170 CHERVIL DR, POINCIANA, FL 34759-5435
(863) 323-6860
Mailing address
1170 CHERVIL DR, POINCIANA, FL 34759-5435
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA99936
FL
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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