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Individual

MISS AMANDA VALERIE WOODS I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
919 CHESTWOOD AVE, TALLAHASSEE, FL 32303-4634
(850) 590-5909
Mailing address
919 CHESTWOOD AVE, TALLAHASSEE, FL 32303-4634
(850) 590-5909

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA#29549
FL

Other

Enumeration date
05/13/2009
Last updated
05/13/2009
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