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Individual

ALEXIS JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7665 WYNDHAM DR, MELBOURNE, FL 32940-7723
(321) 361-6979
Mailing address
7665 WYNDHAM DR, MELBOURNE, FL 32940-7723
(321) 361-6979

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA98087
FL

Other

Enumeration date
11/17/2022
Last updated
11/17/2022
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