Individual
EDER Z HANNA TEJEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3350 SW ESCAROLE ST, PORT SAINT LUCIE, FL 34953-3499
(561) 577-6079
Mailing address
3350 SW ESCAROLE ST, PORT SAINT LUCIE, FL 34953-3499
(561) 577-6079
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA93173
FL
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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