Individual
LAZARO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
937 SW 87TH AVE STE A, MIAMI, FL 33174-3206
(305) 267-6066
Mailing address
937 SW 87TH AVE STE A, MIAMI, FL 33174-3206
(305) 267-6066
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 62495
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 62495
MASSAGE THERAPIST
FL
Enumeration date
04/25/2011
Last updated
04/25/2011
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