MADISON BASIL

LAKE WORTH, FL
NPI1538891304
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: FL  MA94922)
Enumeration Date2022-06-29
Last Update Date2022-06-29
Business Address
Miss MADISON BASIL
1147 15TH AVE N UNIT B
LAKE WORTH, FL 33460-1845
Phone number: 304-704-8152
Mailing Address
Miss MADISON BASIL
1147 15TH AVE N UNIT B
LAKE WORTH, FL 33460-1845
Phone number: 304-704-8152
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