Individual
MS. ANNETTE SUSAN WALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2929 NW 13TH ST, GAINESVILLE, FL 32609-2831
(352) 375-0295
Mailing address
4624 NW 30TH AVE, GAINESVILLE, FL 32606-6080
(352) 318-7946
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 59282
FL
Other
Enumeration date
07/24/2010
Last updated
07/24/2010
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