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Individual

MRS. JOHANNA KAY CORRALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM, LMT

Contact information

Practice address
7277 OAKMONT DR, LAKE WORTH, FL 33467-1330
(561) 512-0613
Mailing address
7277 OAKMONT DR STE D, LAKE WORTH, FL 33467-1330
(561) 512-0613

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW484
FL
225700000X
Massage Therapist
MA55216
FL

Other

Enumeration date
12/13/2010
Last updated
02/07/2025
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