Individual
MARY K MACKANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
396 10TH CT, VERO BEACH, FL 32962
(772) 567-0837
Mailing address
396 10TH CT, VERO BEACH, FL 32962
(772) 567-0837
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA44321
FL
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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