Individual
BARBARA GAIL SANSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
791 W COLBERT CT, BEVERLY HILLS, FL 34465-4730
(352) 746-4455
Mailing address
791 W COLBERT CT, BEVERLY HILLS, FL 34465-4730
(352) 746-4455
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA23320
FL
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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