LADON STACY LEWIS

PORT ORANGE, FL
NPI1104084300
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: FL  MA52351)
Enumeration Date2008-05-26
Last Update Date2008-05-26
Business Address
Mr. LADON STACY LEWIS L.M.T.
3650 NANTUCKET ISLAND DR APT. 101
PORT ORANGE, FL 32129-5336
Phone number: 386-679-4996
Mailing Address
Mr. LADON STACY LEWIS L.M.T.
PO BOX 422
DAYTONA BEACH, FL 32115-0422
Phone number: 386-679-4996
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