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Organization

LOTUS BLOSSOM ORIENTAL MASSAGE, INC

Active
Other names
LOTUS BLOSSOM MASSAGE
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WAYNE WILLIAM PARKER (OWNER)
(407) 674-7986
Entity
Organization

Contact information

Practice address
10249 S JOHN YOUNG PKWY, UNIT 106, ORLANDO, FL 32837-4022
(407) 674-7986
(407) 674-7987
Mailing address
10249 S JOHN YOUNG PKWY, UNIT 106, ORLANDO, FL 32837-4022
(407) 674-7986
(407) 674-7987

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MM25909
FL

Other

Enumeration date
04/19/2011
Last updated
04/19/2011
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