Individual
MISS KATHERINE RENAE TATE SLEEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3110 NW 52ND PL, GAINESVILLE, FL 32605-1090
(352) 494-4205
Mailing address
3110 NW 52ND PL, GAINESVILLE, FL 32605-1090
(352) 494-4205
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA43413
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA43413
MASSAGE THERAPIST LICENSE
FL
Enumeration date
06/27/2007
Last updated
07/08/2007
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