BRANDY G PORTER

FORT WALTON BEACH, FL
NPI1821279241
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: FL  MA36309)
Enumeration Date2007-11-14
Last Update Date2007-11-14
Business Address
-- BRANDY G PORTER LMT
223 GILDA PL NW
FORT WALTON BEACH, FL 32548-4201
Phone number: 850-240-4810
Mailing Address
-- BRANDY G PORTER LMT
223 GILDA PL NW
FORT WALTON BEACH, FL 32548-4201
Phone number: 850-240-4810