Individual
LESLIE G VENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
717 S COCOA BLVD STE 202, COCOA, FL 32922-7659
(321) 361-7949
Mailing address
6380 GILLETTE AVE, COCOA, FL 32927-2226
(321) 361-7949
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA92443
FL
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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