Individual
LILLIAN IRENE BORJAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA57688
Contact information
Practice address
3434 W COLUMBUS DR STE 204, TAMPA, FL 33607-1858
(813) 872-7120
Mailing address
3434 W COLUMBUS DR STE 204, TAMPA, FL 33607-1858
(813) 872-7120
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA57688
FL
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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