Individual
GISELLE IBANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 NW 18 ST APTO 6, MIAMI, FL 33125
(786) 399-0357
Mailing address
1630 NW 18TH ST APT 6, MIAMI, FL 33125-2442
(786) 399-0357
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61606
FL
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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