Individual
ADRIANE CARDOSO I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
642 SE STREAMLET AVE, PORT SAINT LUCIE, FL 34983-4658
(954) 512-7611
Mailing address
642 SE STREAMLET AVE, PORT SAINT LUCIE, FL 34983-4658
(954) 512-7611
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA91702
FL
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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