Individual
JUDITH GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 SEVEN SPRINGS BLVD, NEW PORT RICHEY, FL 34655-5643
(727) 372-9500
(727) 372-1268
Mailing address
1310 SEVEN SPRINGS BLVD, NEW PORT RICHEY, FL 34655-5643
(727) 372-9500
(727) 372-1268
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA69866
FL
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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