Wachena Woodard, MA 43333

NPI #1154505709 in Brandon, Florida

Provider Information

NPI Number
1154505709
Entity Type
Individual
Name
Wachena Woodard, MA 43333
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
MA 43333
Enumeration Date
Dec 18, 2007
Last Updated
Dec 2, 2008

Practice Location

Address
1109 N PARSONS AVE
Address 2
STE 108 MM21961
State
Florida
ZIP Code
33510-3105
Phone
(813) 732-0992

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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