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Individual

JULIO C MIRANDA HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MT

Contact information

Practice address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 558-6186
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 558-6186

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA85073
FL

Other

Enumeration date
01/10/2019
Last updated
01/10/2019
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