Individual
KETY L SERPA SOTOLONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 W OKEECHOBEE RD APT 14, HIALEAH, FL 33010-2968
(000) 000-0000
Mailing address
1105 W OKEECHOBEE RD APT 14, HIALEAH, FL 33010-2968
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA97617
FL
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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