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RAMACANDRA GARDNER LMT

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

Registrant NPI Number: 1154466431

Individual Registrant:
 RAMACANDRA  GARDNER LMT
Gender: M
Sole Proprietor

Location and contact information for practice:
13700 US HIGHWAY 441  ALACHUA, FL 32615-8549 US
Tel: 386-418-3869  Fax: 386-418-3810

Contact information for business:
PO BOX 2001  ALACHUA, FL 32616-2001 US
Tel: --  Fax: --

Registration Information:
NPI: 1154466431
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
FLMA 33649

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
LICENCE NUMBERMA 33649FL01




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