Individual
GWENEVERE STARR PALEMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
374 LINDA CIR, SOUTH DAYTONA, FL 32119-2114
(754) 900-1038
Mailing address
374 LINDA CIR, SOUTH DAYTONA, FL 32119-2114
(754) 900-1038
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA80321
FL
Other
Enumeration date
08/05/2020
Last updated
07/25/2023
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