Individual
MRS. ANGELINA DENISE BACON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7710 NW 71ST CT STE 210, TAMARAC, FL 33321-2932
(954) 707-3253
Mailing address
701 NW 37TH AVE, LAUDERHILL, FL 33311-6457
(754) 214-8818
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA58998
FL
Other
Enumeration date
10/18/2011
Last updated
09/05/2023
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