Individual
AUDREY DENISE LAGARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
20310 NW 52ND PL, LOT# 744, MIAMI GARDENS, FL 33055-4727
(786) 797-4955
Mailing address
20310 NW 52ND PL, LOT# 744, MIAMI GARDENS, FL 33055-4727
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 31506
FL
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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