Individual
LESLIE MARY CANADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 DR MLK ST N, SAINT PETERSBURG, FL 33704
(727) 560-2549
Mailing address
777 LA PLAZA AVE S, SAINT PETERSBURG, FL 33707-2957
(727) 343-5953
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0013138
FL
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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