Individual
FABIEN DEGUFFROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 SE 10TH AVE, BOYNTON BEACH, FL 33435-5653
(561) 573-0695
Mailing address
115 SE 10TH AVE, BOYNTON BEACH, FL 33435-5653
(561) 573-0695
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA39359
FL
Other
Enumeration date
02/22/2008
Last updated
06/11/2008
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