Individual
ELIZABETH KERI ANNE FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
475 W TOWN PL STE 105, ST AUGUSTINE, FL 32092-3649
(904) 680-7328
Mailing address
475 W TOWN PL STE 105, SAINT AUGUSTINE, FL 32092-3649
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
98940
FL
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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