Individual
DEANNA WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 CRILL AVE, SUITE 3, PALATKA, FL 32177-6807
(386) 325-1119
(386) 325-4326
Mailing address
159 COUNTY ROAD 309C, PALATKA, FL 32177-8906
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA52833
FL
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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