Individual
MRS. BRIANNA CHARLES PADUGANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
705 CREST ST, FLORENCE, AL 35630-6123
(256) 627-1724
Mailing address
623 COUNTY ROAD 61, FLORENCE, AL 35634-2562
(256) 627-1724
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2454
AL
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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