Individual
CHUTEH EGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2901 W BUSCH BLVD, 610, TAMPA, FL 33618-4523
(813) 935-3334
Mailing address
10728 TABOR DR, TAMPA, FL 33625-4940
(813) 531-2734
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA59856
FL
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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