Individual
LIDIA NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1365 BEVILLE RD, DAYTONA BEACH, FL 32119-1529
(386) 760-0035
Mailing address
1365 BEVILLE RD, DAYTONA BEACH, FL 32119-1529
(386) 760-0035
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA46199
FL
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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