Individual
JOSE MARIANO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
170 W 36TH ST, HIALEAH, FL 33012-5235
(786) 493-8064
Mailing address
2625 COLLINS AVE APT 908, MIAMI BEACH, FL 33140-4749
(786) 493-8064
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA63369
FL
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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