WAYNE ALAN BRACK

PORT SAINT LUCIE, FL
NPI1164720355
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: FL  MA 60306)
Enumeration Date2011-03-11
Last Update Date2011-03-11
Business Address
Mr. WAYNE ALAN BRACK LMT, NCMTB
236 SW PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34984-5044
Phone number: 772-807-1785
Mailing Address
Mr. WAYNE ALAN BRACK LMT, NCMTB
236 SW PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34984-5044
Phone number: 772-807-1785
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