Individual
MARY E ETSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
2140 10TH AVE, VERO BEACH, FL 32960-5377
(772) 532-6735
Mailing address
17 BIMINI CIR, SEBASTIAN, FL 32958-6921
(772) 388-4762
(772) 589-0532
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 37226
FL
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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