Individual
MR. JOSEAN ALBERTO YAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6555 NW 36TH ST, STE 108, VIRGINIA GARDENS, FL 33166-6978
(305) 871-9221
(305) 871-0070
Mailing address
6555 NW 36 STREET, STE 108, MIAMI, FL 33166
(305) 871-9221
(305) 871-0070
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA42361
FL
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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