Individual
MRS. LANIA JANE CROUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
515 N PARK AVE, WINTER PARK, FL 32789-3242
(407) 960-4153
Mailing address
2003 YORKSHIRE DR, WINTER PARK, FL 32792-3135
(407) 960-4153
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA68515
FL
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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