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Individual
MR. ANDREW RYAN FARRETTA
Active
Individual
MR. ANDREW RYAN FARRETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3017
FL
225700000X
Massage Therapist
MA43967
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP3017
ACUPUNCTURIST LICENSE
FL
Enumeration date
12/28/2006
Last updated
10/06/2011
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