Individual
MS. BREN M HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5200 W NEWBERRY RD, SUITE E4, GAINESVILLE, FL 32607-6104
(352) 222-2000
Mailing address
5200 W NEWBERRY RD, SUITE E4, GAINESVILLE, FL 32607-6104
(352) 222-2000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA31187
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA31187
LICENSE NUMBER
FL
Enumeration date
02/22/2007
Last updated
09/23/2007
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