Individual
JULIANNA L WILLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10509 MARTINIQUE ISLE DR, TAMPA, FL 33647-2775
(814) 997-8711
Mailing address
10509 MARTINIQUE ISLE DR, TAMPA, FL 33647-2775
(814) 997-8711
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA90262
FL
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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