Individual
ANGELA SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8840 TERRENE CT, UNIT 101, BONITA SPRINGS, FL 34135-9533
(239) 692-1544
Mailing address
27004 ADRIANA CIR, #201, BONITA SPRINGS, FL 34135-6549
(239) 692-1544
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60223
FL
Other
Enumeration date
11/20/2011
Last updated
11/20/2011
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