ALLEN MICHAEL FORTIER

PORT SAINT LUCIE, FL
NPI1710740584
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: FL  MA64378)
Enumeration Date2024-02-05
Last Update Date2024-02-05
Business Address
ALLEN MICHAEL FORTIER LMT
2140 SW LARCHMONT LN
PORT SAINT LUCIE, FL 34984-4321
Phone number: 954-634-2501
Mailing Address
ALLEN MICHAEL FORTIER LMT
2140 SW LARCHMONT LN
PORT SAINT LUCIE, FL 34984-4321
Phone number: 772-634-0252