Organization
EXPERIENCE ANEW, LLC
Active
Organization
EXPERIENCE ANEW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TELECIA WALKER LMT (OWNER/THERAPIST)
(850) 207-7599
Entity
Organization
Contact information
Practice address
1720 W FAIRFIELD DR STE 309, PENSACOLA, FL 32501-1057
(850) 207-7599
Mailing address
1720 W FAIRFIELD DR STE 309, PENSACOLA, FL 32501-1057
(850) 207-7599
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105554700
—
FL
Enumeration date
03/15/2021
Last updated
03/15/2021
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