Individual
MS. LENA D. PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
121 W. 23RD STREET, PANAMA CITY, FL 32405-3607
(850) 319-6708
Mailing address
PO BOX 617, PANAMA CITY, FL 32402-0617
(850) 319-6708
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA27360
FL
Other
Enumeration date
02/21/2007
Last updated
08/18/2011
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