Individual
JUDITH NEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2331 SW FREEMAN ST, PORT ST LUCIE, FL 34953-2252
(407) 493-2084
Mailing address
2331 SW FREEMAN ST, PORT ST LUCIE, FL 34953-2252
(407) 493-2084
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA58935
FL
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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