Individual
BRENDA AMMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1208 MARINE WAY, AD2, NORTH PALM BEACH, FL 33408-6616
(561) 307-4978
Mailing address
PO BOX 32054, PALM BEACH GARDENS, FL 33420-2054
(561) 307-4978
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16821
FL
Other
Enumeration date
04/12/2007
Last updated
06/13/2008
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