Individual
MS. ELLA MAE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8850 4TH ST N, SAINT PETERSBURG, FL 33702-3124
(727) 278-2717
Mailing address
3040 36TH AVE S, SAINT PETERSBURG, FL 33712-3731
(727) 278-2717
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
50263
FL
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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