Individual
LEONILA PALACIOS ANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6702 W LINEBAUGH AVE, TAMPA, FL 33625-4953
(813) 450-1792
Mailing address
3901 W SLIGH AVE, TAMPA, FL 33614-3924
(615) 593-6621
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA97357
FL
Other
Enumeration date
01/23/2023
Last updated
09/04/2024
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