Individual
LORRAINE BRADSHAW WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
3921 HUDSON LN, TAMPA, FL 33618-5340
(813) 264-7688
(813) 264-7850
Mailing address
3921 HUDSON LN, TAMPA, FL 33618-5340
(813) 264-7688
(813) 264-7850
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA31526
FL
Other
Enumeration date
07/19/2008
Last updated
07/19/2008
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