Individual
MRS. MAITE CARRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3123 OAKLAND SHORES DR APT 210, OAKLAND PARK, FL 33309-5693
(786) 908-6589
Mailing address
3123 OAKLAND SHORES DR APT 210, OAKLAND PARK, FL 33309-5693
(786) 908-6589
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA53985
FL
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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