Individual
MS. MARIA IZABEL DECAMARGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6967 SW 115TH PL, UNIT G, MIAMI, FL 33173-1805
(305) 596-5405
Mailing address
6967 SW 115TH PLACE, UNIT G, MIAMI, FL 33173-1890
(786) 291-6059
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 49871
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 49871
MASSAGE THERAPY
FL
Enumeration date
09/08/2009
Last updated
09/08/2009
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