Individual
ELEICE BRASWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4324 NW US 221, GREENVILLE, FL 32331-4521
(850) 948-2717
Mailing address
4324 NW US 221, GREENVILLE, FL 32331-4521
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA69454
FL
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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