Individual
MARY BETH MIKLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
105 S OSCEOLA AVE, INVERNESS, FL 34452-4727
(352) 364-4133
Mailing address
105 S OSCEOLA AVE, INVERNESS, FL 34452-4727
(352) 364-4133
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA26560
FL
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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