Individual
BRANDY NICHOLE STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
4924 SLASH PINE TRL, FORT PIERCE, FL 34951-3539
(772) 519-4613
Mailing address
4924 SLASH PINE TRL, FORT PIERCE, FL 34951-3539
(772) 519-4613
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA52885
FL
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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