Individual
LEISY CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 NW 72ND AVE, 502, MIAMI, FL 33126-1936
(786) 464-1554
(786) 464-1553
Mailing address
1150 NW 72ND AVE, 502, MIAMI, FL 33126-1936
(786) 464-1554
(786) 464-1553
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60059
FL
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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