Individual
FANNY SUSANA COLMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
21601 WOODSTREAM TER, BOCA RATON, FL 33428-2402
(954) 695-2903
Mailing address
21601 WOODSTREAM TER, BOCA RATON, FL 33428-2402
(954) 695-2903
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 48050
FL
Other
Enumeration date
12/13/2009
Last updated
12/13/2009
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