Individual
DEYANIRA LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14750 SW 26TH ST STE 213, MIAMI, FL 33185-5937
(786) 476-7314
(786) 476-7315
Mailing address
5201 SW 98TH AVENUE RD, MIAMI, FL 33165-7248
(786) 539-6676
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 62525
FL
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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