Individual
TORI RENEE MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12180 HIGHWAY 49 RM 4, GULFPORT, MS 39503-3125
(228) 870-6539
Mailing address
12180 HIGHWAY 49 RM 4, GULFPORT, MS 39503-3125
(228) 870-6539
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2703
MS
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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