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Individual

PATRICIA JOHNSON-WYMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
214 HILLCREST DR, SAFETY HARBOR, FL 34695-4710
(727) 580-6011
Mailing address
214 HILLCREST DR, SAFETY HARBOR, FL 34695-4710
(727) 580-6011

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MM-19694
FL

Other

Enumeration date
05/14/2008
Last updated
05/14/2008
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