Individual
JULIANA ESCAMILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
390 BENNINGTON LANE, APT B, LAKE WORTH, FL 33467
(561) 641-1433
Mailing address
390 BENNINGTON LN APT B, LAKE WORTH, FL 33467-3035
(561) 641-1433
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA66645
FL
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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