Individual
CARMENZA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
107 BEAUMONT LN, PALM BEACH GARDENS, FL 33410-2686
(561) 313-9148
(561) 881-2168
Mailing address
107 BEAUMONT LN, PALM BEACH GARDENS, FL 33410-2686
(561) 313-9148
(561) 881-2168
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA22533
FL
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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