Individual
ANGELA COGGINS-ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9678 SW 136TH ST, STARKE, FL 32091-5955
(904) 796-5260
Mailing address
9678 SW 136TH ST, STARKE, FL 32091-5955
(904) 796-5260
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 35821
FL
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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