Individual
MR. LEONARD MANUEL LOPEZ DE LA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3709 W HAMILTON AVE STE 4, TAMPA, FL 33614-4015
(813) 374-4498
Mailing address
3709 W HAMILTON AVE, TAMPA, FL 33614-4015
(813) 374-4498
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA90945
FL
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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