Individual
JOHANNY GOMEZ ESCALONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1241 SW 29TH ST, FORT LAUDERDALE, FL 33315-2809
(305) 240-3233
Mailing address
1241 SW 29TH ST, FORT LAUDERDALE, FL 33315-2809
(305) 240-3233
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA63247
FL
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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