Individual
MS. ADELE FIRESTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1000 E HILLSBORO BLVD, SUITE 104, DEERFIELD BEACH, FL 33441-3628
(954) 363-7494
(954) 363-7497
Mailing address
7076 DEMEDICI CIR, DELRAY BEACH, FL 33446-3184
(561) 573-0445
(954) 363-7497
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA35649
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA35649
STATE LICENSE
FL
Enumeration date
02/16/2010
Last updated
02/16/2010
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