Individual
MARIA ELISA BORRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5844 MOHR LOOP, TAMPA, FL 33615-3108
(813) 299-2390
Mailing address
5844 MOHR LOOP, TAMPA, FL 33615-3108
(813) 299-2390
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60060
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60060
MASSAGE THERAPY
FL
Enumeration date
01/20/2011
Last updated
01/20/2011
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