Individual
LORI J MEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
17225 SE 248TH TER, UMATILLA, FL 32784-9146
(352) 434-5389
Mailing address
17225 SE 248TH TER, UMATILLA, FL 32784-9146
(352) 434-5389
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA64485
FL
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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