Individual
ADRIANA MARCELA GIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ME
Contact information
Practice address
6876 W FLAGLER ST, MIAMI, FL 33144-2814
(954) 607-0175
Mailing address
6876 WEST FLAGLER STREET, MIAMI, FL 33144
(954) 607-0175
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 57400
FL
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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