Individual
MISS LEILANI MELISSA HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.; L.P.N.
Contact information
Practice address
2180 A1A S STE 100, SAINT AUGUSTINE, FL 32080-6523
(904) 669-9336
Mailing address
2180 A1A S STE 100, SAINT AUGUSTINE, FL 32080-6523
(904) 669-9336
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
5174052
FL
225700000X
Massage Therapist
Primary
29013
FL
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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