Individual
CASSIE DEANNA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
17684 129TH RD, MC ALPIN, FL 32062-2418
(386) 209-4977
Mailing address
17684 129TH RD, MC ALPIN, FL 32062-2418
(386) 209-4977
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA58954
FL
Other
Enumeration date
05/17/2010
Last updated
05/19/2010
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