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MRS. VALERIE BROAS LMT

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1740471994

Individual Registrant:
MRS. VALERIE  BROAS LMT
Gender: F
Sole Proprietor

Location and contact information for practice:
17921 SW WHITING ST  MICANOPY, FL 32667-4123 US
Tel: 352-378-7891  Fax: --

Contact information for business:
17921 SW WHITING ST  MICANOPY, FL 32667-4123 US
Tel: --  Fax: --

Registration Information:
NPI: 1740471994
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
FLMA29081

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MASSAGE THERAPISTMA29081FL01




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