Manjari Smullen L.M.T

NPI 1689854283 - Massage Therapist - 225700000X

NPI Details
NPI 1689854283
Gender Female
Enumeration Date 11/12/2007
Last Updated 04/09/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
11035 NW 60TH DR
ALACHUA FL, 32615-7456, US
Phone (352) 222-1829
Fax
Business Location
11035 NW 60TH DR
ALACHUA FL, 32615-7456, US
Phone (352) 222-1829
Fax
Toxanomy
Taxonomy Code 225700000X
License State Florida
License Number MA51561
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According to our database, Manjari Smullen L.M.T NPI is 1689854283, taxonomy code is 225700000X and license number is MA51561, license state is located at Florida. Manjari Smullen L.M.T physically located at 11035 Nw 60th Dr, Alachua FL, 32615-7456. NPI Number Manjari Smullen L.M.T has the Individual type.

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1689854283 NPI number is provided on an as is basis without warranty of any kind. 1689854283 is maintained by the National Plan & Provider Enumeration System. The contents of Manjari Smullen L.M.T are for informational purposes only.