Individual
MARIA LALU CARLSWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
570 OCEAN DR., #501, JUNO BEACH, FL 33408
(954) 491-2225
(954) 491-6862
Mailing address
14920 NW 16 DR, MIAMI, FL 33167
(786) 863-3391
(305) 681-8419
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA44687
LICENSED MASSAGE THERAPIST
FL
Enumeration date
09/01/2009
Last updated
09/01/2009
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