LANISDAY BASULTO

PORT CHARLOTTE, FL
NPI1447141361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: FL  MA107301)
Enumeration Date2025-07-10
Last Update Date2025-07-10
Business Address
LANISDAY BASULTO
3762 TAMIAMI TRL STE G
PORT CHARLOTTE, FL 33952-8363
Phone number: 786-715-4720
Mailing Address
LANISDAY BASULTO
4543 OAKLEY RD
NORTH PORT, FL 34288-2360
Phone number: 786-715-4720