Individual
TINA-MARIE A LIBURD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NAIL TECHNICIAN
Contact information
Practice address
23138 RAINBOW RD, BOCA RATON, FL 33428-5620
(954) 696-4418
Mailing address
PO BOX 8155, CORAL SPRINGS, FL 33075-8155
(954) 696-4418
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
FV9640664
FL
Other
Enumeration date
10/31/2023
Last updated
11/01/2023
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