Individual
KOREN LESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA70719
Contact information
Practice address
2745 BROOK HOLLOW RD, CLERMONT, FL 34714-7292
(407) 906-3654
Mailing address
2745 BROOK HOLLOW RD, CLERMONT, FL 34714-7292
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA70719
FL
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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