Individual
MRS. LUCY T WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5971 JIM DAVIS ROAD, PARRISH, FL 34219
(941) 737-2662
Mailing address
5971 JIM DAVIS ROAD, PARRISH, FL 34219
(941) 737-2662
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 43622
FL
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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