Individual
MISS FERN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1981 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5555
(772) 626-9997
Mailing address
2798 SE MARIPOSA AVE, PORT ST LUCIE, FL 34952-7271
(772) 626-9997
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA58946
FL
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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