Individual
GENESIS R DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1005 N LAKE PARKER AVE, LAKELAND, FL 33805-4723
(863) 583-4053
Mailing address
6871 BUSHNELL DR, LAKELAND, FL 33813-3738
(727) 249-8360
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA78826
FL
Other
Enumeration date
02/27/2021
Last updated
04/13/2021
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