Individual
EDWINA MARIE SZEMPRUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13300 VALEWOOD DR, NAPLES, FL 34119-8505
(239) 293-2566
(293) 325-8573
Mailing address
13300 VALEWOOD DR, NAPLES, FL 34119-8505
(239) 293-2566
(293) 325-8573
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA24983
ZZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C4187
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/14/2011
Last updated
09/14/2011
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