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Samantha Fagnant, LMT
NPI 1396179578 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1312 Illinois Ave
Suite E
Saint Cloud, FL 34769 - Phone
- (407) 436-2122
- Organisation at this address
- Footprints On The Moon Massage And Bodywork, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-07-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida