Individual
DEBRA MARIE MACLOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5580 BROADCAST CT, LAKEWOOD RANCH, FL 34240-8471
(941) 232-4673
Mailing address
439 SALT MEADOW CIR UNIT 204, BRADENTON, FL 34208-1796
(941) 232-4673
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA44093
FL
Other
Enumeration date
08/15/2016
Last updated
12/06/2019
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