ALEXANDER POLOUKINE

PORT ST LUCIE, FL
NPI1144435934
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: FL  MA40421)
Enumeration Date2007-05-14
Last Update Date2007-07-08
Business Address
Mr. ALEXANDER POLOUKINE
1701 SE HILLMOOR DR SUITE 1A
PORT ST LUCIE, FL 34952-7552
Phone number: 772-337-5511
Mailing Address
Mr. ALEXANDER POLOUKINE
710 SW BELMONT CIR
PORT ST LUCIE, FL 34953-6337
Phone number: 772-418-2220