Individual
HANNAH WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 SW 27TH AVE APT 2507, OCALA, FL 34471-2089
(321) 230-1199
Mailing address
1421 SW 27TH AVE APT 2507, OCALA, FL 34471-2089
(321) 230-1199
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA102880
FL
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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