Individual
MANDY L DICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 E LANTANA RD, APT 6, LANTANA, FL 33462-2979
(561) 891-0244
Mailing address
221 E LANTANA RD, APT 6, LANTANA, FL 33462-2979
(561) 891-0244
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 48222
FL
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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