Organization
MAKENAH LLC
Active
Other names
Tiffany Spa and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MADGE FLEURIMOND CEMELUS (PHYSICIAN ASSISTANT)
(516) 668-6269
Entity
Organization
Contact information
Practice address
1507 E LAS OLAS BLVD, FORT LAUDERDALE, FL 33301-2345
(516) 668-6269
Mailing address
1507 E LAS OLAS BLVD, FORT LAUDERDALE, FL 33301-2345
(516) 668-6269
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
173C00000X
Reflexologist
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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