Individual
CARRIE DE LOS ANGELES TERCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3628 SW 6TH ST, MIAMI, FL 33135-2519
(305) 684-7778
Mailing address
3628 SW 6TH ST, MIAMI, FL 33135-2519
(305) 684-7778
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA56343
FL
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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