Individual
MS. MAIRA LAZARA GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13786 SW 170TH LN, MIAMI, FL 33177-6492
(305) 322-0659
Mailing address
13786 SW 170TH LN, MIAMI, FL 33177-6492
(305) 322-0659
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA38188
FL
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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