Individual
ALEXANDER RETANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1803 W SLIGH AVE, TAMPA, FL 33604-5811
(813) 388-1327
Mailing address
1803 W SLIGH AVE, TAMPA, FL 33604-5811
(813) 388-1327
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA46771
FL
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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