Individual
CHANIQUE SELVYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
395 QUENTIN AVE NW, WINTER HAVEN, FL 33881-5207
(863) 248-9971
Mailing address
395 QUENTIN AVE NW, WINTER HAVEN, FL 33881-5207
(863) 248-9971
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA91670
FL
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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