Individual
GEIVIS ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
651 E 48TH ST, HIALEAH, FL 33013-1957
(786) 339-3786
Mailing address
651 E 48TH ST, HIALEAH, FL 33013-1957
(786) 339-3786
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA94370
FL
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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