Individual
EARL DUSTIN LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
5045 CAPE HATTERAS DR, CLERMONT, FL 34714-5296
(407) 435-7929
Mailing address
5045 CAPE HATTERAS DR, CLERMONT, FL 34714-5296
(407) 435-7929
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA95054
FL
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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