Individual
FALYYN LODERBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3558 E DELIGHT ST, HERNANDO, FL 34442-2510
(352) 422-7921
Mailing address
3558 E DELIGHT ST, HERNANDO, FL 34442-2510
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA35054
FL
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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