Individual
MS. KATHERINE SOO TIAN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
570 OCEAN DR, HOLISTIC MANAGE & WELLNESS CLINICS # 501, JUNO BEACH, FL 33408
(954) 491-2225
(954) 491-6862
Mailing address
1501 SOUTH OCEAN DRIVE, APT 803, HOLLYWOOD, FL 33019-2369
(954) 922-3918
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA43645
FL
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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