Individual
MS. ELIZABETH M. KOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 RIDGEWOOD AVE, HOLLY HILL, FL 32117-4944
(386) 492-2958
(800) 481-0685
Mailing address
2608 BELMONT AVE, NEW SMYRNA, FL 32168-5707
(386) 882-1927
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA47041
FL
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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