Individual
MRS. MARCIE RACHELE LEBRUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
3620 CARAMEL AVE, #69, PORT ORANGE, FL 32129-6606
(386) 767-9265
Mailing address
3620 CARAMEL AVE, #69, PORT ORANGE, FL 32129-6606
(386) 767-9265
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 48086
FL
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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