Individual
MANJARI SMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
11035 NW 60TH DR, ALACHUA, FL 32615-7456
(352) 222-1829
Mailing address
11035 NW 60TH DR, ALACHUA, FL 32615-7456
(352) 222-1829
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA51561
FL
Other
Enumeration date
11/12/2007
Last updated
04/09/2014
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