Individual
MAYNILLA GRUDOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
744 E BURGESS RD STE A101, PENSACOLA, FL 32504-6360
(850) 696-8805
Mailing address
5933 SCHOFIELD DR, PENSACOLA, FL 32506-5268
(724) 734-6541
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA104419
FL
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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