Individual
MRS. AMANDA H MAYBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
25355 WEST NEWBERRY RD, NEWBERRY, FL 32669
(352) 472-3478
Mailing address
PO BOX 176, NEWBERRY, FL 32669-0176
(352) 472-3478
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 40899
FL
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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