Individual
MACY CHANEL SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2458 NW 55TH WAY # 21-204, LAUDERHILL, FL 33313-3035
(443) 467-4546
Mailing address
2458 NW 55TH WAY # 21-204, LAUDERHILL, FL 33313-3035
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
103523
FL
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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