MR. Richard C Sturdivant, LMT

NPI #1417150905 in Melrose, Florida

Provider Information

NPI Number: 1417150905
Entity Type: Individual
Name: MR. Richard C Sturdivant, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Jun 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 123 1ST ST
City: Melrose
State: Florida
ZIP Code: 32666-3030
Phone: (352) 478-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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