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Individual

LORENA VELASQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4431 SW 64TH AVE STE 105, DAVIE, FL 33314-3458
(954) 316-1476
Mailing address
4431 SW 64TH AVE STE 105, DAVIE, FL 33314-3458
(954) 316-1476

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
84706
FL

Other

Enumeration date
06/06/2023
Last updated
06/06/2023
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