Individual
MARLENE KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2700 TREE MEADOW LOOP, APOPKA, FL 32712-6619
(407) 889-1039
Mailing address
2700 TREE MEADOW LOOP, APOPKA, FL 32712-6619
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA36602
FL
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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