Individual
ANASTACIA MONICA KAUIMALIE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 W EAU GALLIE BLVD STE 203, MELBOURNE, FL 32935-4149
(321) 987-0041
Mailing address
3901 VERANDA CT UNIT 3, MELBOURNE, FL 32901-8743
(941) 467-8043
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA87055
FL
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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