STEPHANIE JEAN VICTA

LAKE WORTH, FL
NPI1922165570
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: FL  30142)
Enumeration Date2007-01-02
Last Update Date2007-07-08
Business Address
Ms. STEPHANIE JEAN VICTA LMT
1507 19TH AVE N
LAKE WORTH, FL 33460-6063
Phone number: 561-628-6412
Mailing Address
Ms. STEPHANIE JEAN VICTA LMT
1507 19TH AVE N
LAKE WORTH, FL 33460-6063
Phone number: 561-628-6412
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