Individual
MABEL CHAVEZ PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7925 NW 12TH ST, SUITE 229, DORAL, FL 33126-1827
(305) 597-7361
Mailing address
7925 NW 12TH ST, SUITE 229, DORAL, FL 33126-1827
(305) 597-7361
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA62196
FL
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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