Individual
MISS APRIL NIKOLE SHOUPPE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 WILLIS ST, AUBURNDALE, FL 33823-3826
(863) 669-6050
Mailing address
PO BOX 1814, AUBURNDALE, FL 33823-1814
(863) 669-6050
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 45616
FL
Other
Enumeration date
03/14/2007
Last updated
05/14/2008
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