Individual
LESLEY GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
318 NE 2ND AVE APT 2, GAINESVILLE, FL 32601-3443
(352) 374-4087
Mailing address
318 NE 2ND AVE APT 2, GAINESVILLE, FL 32601-3430
(352) 374-4087
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA54580
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA54580
MASSAGE THERAPY
FL
Enumeration date
06/03/2009
Last updated
06/09/2009
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