Individual
LUIS TRUTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA62302
Contact information
Practice address
484 EAST 24TH ST, HIALEAH, FL 33013
(786) 487-1786
Mailing address
484 E 24TH ST, HIALEAH, FL 33013-3931
(305) 824-5456
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA62302
FL
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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