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Organization
VITALITY MASSAGE STUDIO
Active
Organization
VITALITY MASSAGE STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORIAN ALESHIA BOWEN LMT (MASSAGE THERAPISTS)
(786) 438-6642
Entity
Organization
Contact information
Practice address
8864 SW 129TH TER, MIAMI, FL 33176-5931
(786) 438-6642
Mailing address
8864 SW 129TH TER, MIAMI, FL 33176-5931
(786) 438-6642
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA87359
B500-521-88-757-1
FL
Enumeration date
01/24/2020
Last updated
01/24/2020
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