Individual
MRS. DENISE MARIE LAVENTURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
925 N COURTENAY PKWY, SUITE 6, MERRITT ISLAND, FL 32953-4569
(321) 454-9200
(321) 576-0054
Mailing address
635 PAULA AVE, MERRITT ISLAND, FL 32953-6118
(321) 454-9200
(321) 576-0054
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA-24503
FL
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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