Reveille LLC

NPI #1548842164 in Cocoa, Florida

Provider Information

NPI Number
1548842164
Entity Type
Organization
Organization Name
Reveille LLC
Primary Specialty
Massage Therapist
Enumeration Date
Apr 23, 2021
Last Updated
Apr 23, 2021

Practice Location

Address
717 S COCOA BLVD STE 202
City
Cocoa
State
Florida
ZIP Code
32922-7659
Phone
(321) 361-7949

Authorized Official

Name
MS. LESLIE G VENTURA, LMT
Title
OWNER
Phone
(321) 361-7949

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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