Individual
JUAN ESTEBAN CONCHA-HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA88621
Contact information
Practice address
1708 SW 51ST AVE, GAINESVILLE, FL 32608-5019
(352) 328-8498
Mailing address
1708 SW 51ST AVE, GAINESVILLE, FL 32608-5019
(352) 328-8498
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA88621
FL
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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