Individual
JOSE MARCELO BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
20301 W COUNTRY CLUB DR APT 1727, AVENTURA, FL 33180-1657
(305) 332-6684
Mailing address
20301 W COUNTRY CLUB DR APT 1727, AVENTURA, FL 33180-1657
(305) 332-6684
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA54178
FL
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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