Individual
MRS. KRYSTAL SHIRLEY HAWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
240 RIDGEWOOD AVE, HOLLY HILL, FL 32117-4944
(386) 492-2958
Mailing address
240 RIDGEWOOD AVE, HOLLY HILL, FL 32117-4944
(386) 492-2958
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA59309
FL
Other
Enumeration date
07/26/2010
Last updated
08/27/2010
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