Individual
MS. ANGELIA MARIE ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
5030 S US HIGHWAY 17/92, CASSELBERRY, FL 32707-3869
(407) 256-3243
Mailing address
207 SATSUMA DR, SANFORD, FL 32771-3650
(407) 256-3243
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA42490
FL
Other
Enumeration date
05/01/2007
Last updated
05/14/2010
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