Individual
MRS. AMANDA LEI HAMMOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1531 BACKWATER DR, MIDDLEBURG, FL 32068-3466
(229) 891-4737
Mailing address
1531 BACKWATER DR, MIDDLEBURG, FL 32068-3466
(229) 891-4737
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA55342
FL
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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