Individual
HEATHER NOCAL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2731 NW 41ST ST, GAINESVILLE, FL 32606-7467
(352) 792-2789
Mailing address
2731 NW 41ST ST, GAINESVILLE, FL 32606-7467
(352) 792-2789
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA70294
FL
Other
Enumeration date
09/09/2012
Last updated
09/09/2012
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