Individual
MS. PENNY M. ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2802 W AZEELE ST, SUITE A, TAMPA, FL 33609-3108
(813) 340-6444
Mailing address
2802 W AZEELE ST, SUITE A, TAMPA, FL 33609-3108
(813) 340-6444
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA35613
FL
Other
Enumeration date
10/26/2008
Last updated
10/26/2008
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