Individual
LENORE WELTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1845 OLD MOULTRIE RD APT 33, SAINT AUGUSTINE, FL 32084-4129
(904) 501-5223
Mailing address
1845 OLD MOULTRIE RD APT 33, SAINT AUGUSTINE, FL 32084-4129
(904) 501-5223
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA78477
FL
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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