Individual
MS. ELAINE LENORE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
811 CORAL RIDGE DR, CORAL SPRINGS, FL 33071-4180
(954) 205-0299
Mailing address
811 CORAL RIDGE DR, CORAL SPRINGS, FL 33071-4180
(954) 205-0299
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA78913
FL
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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