Individual
LISSET A QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 SW 49TH LN, CAPE CORAL, FL 33914-6930
(239) 218-9124
Mailing address
1725 SW 49TH LN, CAPE CORAL, FL 33914-6930
(239) 218-9124
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA58819
FL
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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