Individual
JOI DERISMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5961 NW 173RD DR, HIALEAH, FL 33015-5114
(305) 556-7500
Mailing address
8912 W FLAGLER ST, #203, MIAMI, FL 33174-3950
(954) 918-7180
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA33160
FL
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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