Individual
MISS LANETT MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
500 MLK ST N, SUITE 100, ST PETERSBURG, FL 33705-1472
(727) 825-1771
(727) 820-7460
Mailing address
4340 43RD AVE N, ST PETERSBURG, FL 33714-3510
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA41650
FL
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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