Individual
MS. CARMEN R ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11890 SW 8TH ST, SUITE 301, MIAMI, FL 33184-1743
(305) 225-4440
(305) 225-4441
Mailing address
10225 SW 24TH ST, APT B322, MIAMI, FL 33165-2532
(786) 709-5163
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA47769
FL
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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