Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA51474 | FL |
NPI | 1003098831 |
---|---|
Provider Name | Mrs. Sherry Rose Murren |
First Address | Brooksville, FL 34602 |
Second Address | Spring Hill, FL 34606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2007 |
Last Update Date | 04/12/2007 |