Individual
MRS. DAMETRE SHAVON ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
929 N US HIGHWAY 441, LADY LAKE, FL 32159-3001
(352) 259-0842
Mailing address
929 N US HIGHWAY 441, LADY LAKE, FL 32159-3001
(352) 259-0842
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA97905
FL
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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