Organization
ASNMASSAGE LLC
Active
Other names
ASNMassage
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA SAMUEL-NINOU LMT (PRESIDENT)
(321) 512-1320
Entity
Organization
Contact information
Practice address
11602 LAKE UNDERHILL RD STE 135, ORLANDO, FL 32825-4461
(321) 512-1320
Mailing address
5278 WHITSTABLE WAY APT 1, ORLANDO, FL 32812-7028
(321) 512-1320
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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