Individual
MS. DEBORAH EZETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 SW 57TH AVE STE PH304, SOUTH MIAMI, FL 33143-5428
(305) 663-3370
Mailing address
13701 SW 91ST CT APT G, MIAMI, FL 33176-6854
(305) 409-6061
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA68149
FL
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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