Individual
LISA YASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
105 BUCK ISLAND CT, PONTE VEDRA BEACH, FL 32082-3683
(904) 315-6464
Mailing address
105 BUCK ISLAND CT, PONTE VEDRA BEACH, FL 32082-3683
(904) 315-6464
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA89559
FL
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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