Individual
IDALMYS TRAVIESO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1757 SW 22ND ST, CORAL GABLES, FL 33145-2728
(305) 442-1040
Mailing address
1757 SW 22ND ST, CORAL GABLES, FL 33145-2728
(305) 442-1040
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
62281
FL
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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