Individual
ADELE LAVASSEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
104 COLLEGE DR, SUITE2, ORANGE PARK, FL 32065-3300
(904) 213-1400
Mailing address
104 COLLEGE DR, SUITE2, ORANGE PARK, FL 32065-3300
(904) 213-1400
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA22823
FL
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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