Holli Jane Latreille LMT MA52983

NPI 1386808137 - Massage Therapist - 225700000X

NPI Details
NPI 1386808137
Gender Female
Enumeration Date 07/10/2008
Last Updated 07/10/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
405 11TH ST SW
SUITE 101-A
LIVE OAK FL, 32064-3161, US
Phone (386) 362-7727
Fax (386) 362-7727
Business Location
405 11 STREET SW
SUITE 101-A
LIVE OAK FL, 32064-3162, US
Phone (386) 362-7727
Fax (386) 362-7727
Toxanomy
Taxonomy Code 225700000X
License State Florida
License Number MA 52983
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According to our database, Mrs. Holli Jane Latreille LMT MA52983 NPI is 1386808137, taxonomy code is 225700000X and license number is MA 52983, license state is located at Florida. Holli Jane Latreille LMT MA52983 physically located at 405 11th St Sw, Live Oak FL, 32064-3161. NPI Number Holli Jane Latreille LMT MA52983 has the Individual type.

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1386808137 NPI number is provided on an as is basis without warranty of any kind. 1386808137 is maintained by the National Plan & Provider Enumeration System. The contents of Holli Jane Latreille LMT MA52983 are for informational purposes only.