Individual
JANELLE GAY-LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 GOLDEN OAKS LN, ST AUGUSTINE, FL 32080-6111
(561) 932-7452
Mailing address
205 GOLDEN OAKS LN, ST AUGUSTINE, FL 32080-6111
(561) 932-7452
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 64082
FL
Other
Enumeration date
09/03/2012
Last updated
09/03/2012
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