Individual
DEBORAH MAINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 6TH AVE, VERO BEACH, FL 32960-5922
(772) 539-8668
Mailing address
PO BOX 651305, VERO BEACH, FL 32965-1305
(772) 539-8668
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA62231
FL
Other
Enumeration date
11/02/2011
Last updated
04/25/2012
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