Individual
CLARIVEL BACALLAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5911 W 21ST CT, HIALEAH, FL 33016-2634
(786) 624-0048
Mailing address
5911 W 21ST CT, HIALEAH, FL 33016-2634
(786) 624-0048
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 66419
FL
Other
Enumeration date
02/14/2012
Last updated
08/22/2023
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