Individual
MARYANNE REUKAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2705 NW 22ND AVE, MIAMI, FL 33142-8434
(305) 812-4877
Mailing address
2705 NW 22ND AVE, MIAMI, FL 33142-8434
(305) 812-4877
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
90903
FL
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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